Active NPI
Tracy Jean Beck, MPT
- Physical Therapist
- Grosse Pointe Park, MI
National Provider Identifier
1013913706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06398R
- Practice address
- 868 Westchester Rd
Grosse Pointe Park, MI 48230-1828 - Phone
- (313) 822-2111
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06398R | LA | Primary |
| Physical Therapist | 225100000X | 5501013379 | MI |
Addresses
Primary practice location
868 Westchester Rd
Grosse Pointe Park, MI 48230-1828
Mailing address
868 Westchester Rd
Grosse Pointe Park, MI 48230-1828
Phone (313) 822-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F9746 | Other | LA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013379 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Normal Physical Rehabilitation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Houma, LA
- NPI 1588709984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1013913706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 WESTCHESTER RD",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301828",
"telephone_number": "313-822-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 WESTCHESTER RD",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301828",
"telephone_number": "313-822-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "TRACY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06398R",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013379",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "F9746",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.