Annette Marie Becker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2010003197 Issued in MO

Practice address

500 Haley Ave
Louisiana, MO 63353-2417

Phone

(573) 754-6904

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Lincoln County R-1 Schools

  dba Silex R-1 School Dist

  • Local Education Agency (LEA)
  • Silex, MO
  • NPI 1659510063
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1023880879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22515 PIKE 309",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633345210",
            "telephone_number": "573-470-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HALEY AVE",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532417",
            "telephone_number": "573-754-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Highway Uu",
            "address_purpose": "LOCATION",
            "city": "Silex",
            "state": "MO",
            "postal_code": "633772231",
            "country_code": "US",
            "telephone_number": "573-384-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2010003197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Jean Acree, RPH
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• Alternative Health Services PC
• Erin Collette Anderson, FNP-C
• Best Buy Homecare of Louisiana, Inc (Best Buy Homecare)
• Best Buy Pharmacy
• Heather Bokerman, OTR/L
• Boncl School Dist R-10 (Boncl R-X School District)
• Ashley Helm Branstetter, M.A., CCC-SLP

• Physical Therapy Assistant in Louisiana, MO
• Providers in Louisiana, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.