Individual provider Active NPI

Patricia Susan Wendt Becker, PT

  • Physical Therapist
  • Granbury, TX
National Provider Identifier
1073342846
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1066090 Issued in TX
Practice address
5310 Acton Hwy Ste 106
Granbury, TX 76049-3105
Phone
(817) 326-1375
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 1066090 TX Primary

Addresses

Primary practice location

5310 Acton Hwy Ste 106
Granbury, TX 76049-3105

Mailing address

225 Deer Park CT
Granbury, TX 76048-6918
Phone (817) 992-6852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000519 TX Practitioner - Physical Therapist in Private Practice 0840730768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1066090TXMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, Inc Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

5310 Acton Hwy
Ste 106
Granbury, TX 76049
Phone (817) 326-1375

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.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1073342846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 DEER PARK CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760486918",
            "telephone_number": "817-992-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 ACTON HWY STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493105",
            "telephone_number": "817-326-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT BECKER",
        "first_name": "PATRICIA",
        "middle_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1066090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.