Individual provider Active NPI

Stacy Beck, P.T.

  • Physical Therapist
  • Lake Havasu City, AZ
National Provider Identifier
1194781542
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5356 Issued in AZ
Practice address
297 S Lake Havasu Ave #102
Lake Havasu City, AZ 86403
Phone
(928) 453-0501
Fax
(928) 453-0502
NPI assigned
Apr 25, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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 5356 AZ Primary

Addresses

Primary practice location

297 S Lake Havasu Ave #102
Lake Havasu City, AZ 86403

Mailing address

2321 Souchak Dr
Lake Havasu City, AZ 86406-8326
Phone (928) 855-5654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060815000061 AZ Practitioner - Physical Therapist in Private Practice 2860495744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Rehab of Arizona,LLCGroup PAC ID 3870546393, 2 clinicians

Practice addresses (Care Compare)

297 Lake Havasu Ave S
Suite 102
Lake Havasu City, AZ 86403-6526
Phone (928) 453-0501

Merit-based Incentive Payment System (MIPS)

Final score
93.87 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Rehab of Arizona,LLC CurrentSince Dec 8, 2008 Accepting new patients
Innovative Health Care of Havasu LLC PastSince Dec 8, 2008 Accepting new patients

Locations

297 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-4040

297 Lake Havasu Ave S
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 230-1593

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1194781542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 SOUCHAK DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068326",
            "telephone_number": "928-855-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 S LAKE HAVASU AVE #102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-453-0501",
            "fax_number": "928-453-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.

Verify at the official NPI Registry.