Active NPI
Joseph P Beckham, DPT
- Physical Therapist
- Tallahassee, FL
National Provider Identifier
1114915642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20953
- Practice address
- 1618 Mahan Center Blvd
Suite 104
Tallahassee, FL 32308-5477 - Phone
- (850) 325-6307
- Fax
- (850) 325-6387
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- 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 | PT20953 | FL | Primary |
Addresses
Primary practice location
1618 Mahan Center Blvd
Suite 104
Tallahassee, FL 32308-5477
Mailing address
1305 Leewood Dr
Tallahassee, FL 32312-2506
Phone (850) 553-7273
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262475406 | Other | FL | TAX IDENTIFIER |
| Y123S | Other | FL | BCBS PROVIDER ID |
| U5183Z | Other | FL | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2615 Centennial Blvd
Suite 101
Tallahasse, FL 32308-0589
Phone (850) 656-1837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic and Sports Physical Therapy P a | Physical Therapist | Current | Accepting new patients |
| Chipley Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Orange Park, Inc | Physical Therapist | Past | Accepting new patients |
| Bonifay Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
2615 Centennial Blvd
Ste 101
Tallahassee, FL 32308
Organizations & group practices 4
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
- Tallahassee, FL
- NPI 1114001377
-
- Physical Therapist
- Bonifay, FL
- NPI 1649311879
-
dba Absolute Therapy
- Physical Therapist
- Panama City, FL
- NPI 1073857298
-
dba Progressive Step Rehab of Orange Park
- Physical Therapy Clinic/Center
- Fleming Island, FL
- NPI 1508883018
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1114915642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 LEEWOOD DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323122506",
"telephone_number": "850-553-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 MAHAN CENTER BLVD",
"address_2": "SUITE 104",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085477",
"telephone_number": "850-325-6307",
"fax_number": "850-325-6387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKHAM",
"first_name": "JOSEPH",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFIER",
"identifier": "262475406",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "Y123S",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "U5183Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.