Nicole Lee Becken, PT
Individual provider Active NPI Physical Therapist · Carolina Beach, NC
NPI 1124134903 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1124134903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5593 (NC)
- Practice address
- 1140 N Lake Park Blvd
Suite F
Carolina Beach, NC 28428-4100 - Phone
- (910) 540-3517
- Fax
- (910) 213-3968
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5593 | NC | Yes |
Addresses
Primary practice location
1140 N Lake Park Blvd
Suite F
Carolina Beach, NC 28428-4100
Mailing address
117 Heather LN
Kure Beach, NC 28449-4861
Phone (910) 540-3517
Other providers in Carolina Beach, NC
- Azalea Behavioral Services LLC
- Balbach, LLC
- Jack Parker Barnett
- Lauren Medl Bates
- Kayse Fields Beasley
- Haley Belcher
- Benchmark Physical Therapy of NC, LLC
- Heather Black
- Halyn Blackburn
- Brandon Kent Farrell DDS PA II
All providers in Carolina Beach, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.