Provider Demographics
NPI:1295746865
Name:BEATO, SUSAN A (DPT)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:A
Last Name:BEATO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:115 AKERS FARM RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-4864
Mailing Address - Country:US
Mailing Address - Phone:540-381-9100
Mailing Address - Fax:540-381-9102
Practice Address - Street 1:115 AKERS FARM RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-4864
Practice Address - Country:US
Practice Address - Phone:540-381-9100
Practice Address - Fax:540-381-9102
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA0163802251S0007X, 2251X0800X
VA2305205345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-6670Medicare UPIN
096043Medicare ID - Type Unspecified