Active NPI
Patricia Susan Wendt Becker, PT
- Physical Therapist
- Granbury, TX
National Provider Identifier
1073342846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1066090
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1066090 | TX | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Physical Therapy, Inc | Physical Therapist | Current | 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.
-
- Physical Therapy Assistant
- Granbury, TX
- NPI 1699716076
Physical Therapist
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.