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Gary Beard

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

8 Research Pkwy, Wallingford, CT 06492-1930

(203) 294-1998

PECOS Enrollment

Based on the most recent information from CMS, provider Gary Beard does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1396847414
Provider Type
Individual
Full Name
Beard, Gary
Title
Prof.
Credential
MA, PT

Gender
Male
Sole Proprietor
No
Enumeration Date
9/1/2006
Last Updated
4/13/2011

Contact Information

Practice Location

8 Research Pkwy, Wallingford, CT 06492-1930

(203) 294-1998

Unlisted Fax

Mailing Location

8 Research Pkwy, Wallingford, CT 06492-1930

(203) 294-1998

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 008038 Connecticut
Code 225100000X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 62 014054 New York

Gary Beard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Vaughan, Lynn C

Olsen, Erik

Ryan, Audrey

Gonzalez, Wendy G

Macaro, Merle

Van Zilen, Lisa M

Vumback, Amy F

Wilkosz, Jennifer Lynne

Tighe, Ashley

Cristaldi, Jillian