Natalie Nicole Beck, PTA

Individual provider Active NPI Physical Therapy Assistant · Idabel, OK

NPI 1104580166 · NPPES record last updated Oct 26, 2021

Key facts

NPI
1104580166
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1532 (OK)
Practice address
902 E Lincoln Rd
Idabel, OK 74745-7337
Phone
(580) 286-2600
Fax
(580) 286-1107
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1532OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1532 OK Yes

Addresses

Primary practice location

902 E Lincoln Rd
Idabel, OK 74745-7337

Mailing address

PO Box 83
Wright City, OK 74766-0083
Phone (580) 212-7909

Other names

  • Natalie N Quigley Former name

Other providers in Idabel, OK

All providers in Idabel, OK · Physical Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.