Individual provider Active NPI

Austin Ryan Becker, PT, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1003555319
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4338 Issued in NE
Practice address
2510 S 40TH St Ste 200
Lincoln, NE 68506-2411
Phone
(402) 486-3333
Fax
(402) 486-3349
NPI assigned
Jun 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4338 NE Primary

Addresses

Primary practice location

2510 S 40TH St Ste 200
Lincoln, NE 68506-2411

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607001791 NE Practitioner - Physical Therapist in Private Practice 0941688725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

2510 S 40TH St
Suite 200
Lincoln, NE 68506-2411
Phone (402) 486-3333

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as individual
Quality
92.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4338NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physician Network CurrentSince Jun 5, 2022 Accepting new patients
Go Physical Therapy, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients

Locations

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

4001 O St
Lincoln, NE 68510
Phone (402) 817-0834

4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

4055 Yankee Hill Rd
Lincoln, NE 68516
Phone (402) 328-6300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1003555319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-675-1853",
            "fax_number": "308-210-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S 40TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062411",
            "telephone_number": "402-486-3333",
            "fax_number": "402-486-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "AUSTIN",
        "middle_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.