Active NPI
Donald Alan Becker, PT
- Physical Therapist
- Georgetown, OH
National Provider Identifier
1205531076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002304
- Practice address
- 8065 Dr Faul Rd
Georgetown, OH 45121-8811 - Phone
- (937) 378-4178
- NPI assigned
- Apr 3, 2023
- 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 | 002304 | OH | Primary |
Addresses
Primary practice location
8065 Dr Faul Rd
Georgetown, OH 45121-8811
Mailing address
199 Elm St
Mount Orab, OH 45154-9446
Phone (937) 779-7642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002304 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1205531076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 ELM ST",
"city": "MOUNT ORAB",
"state": "OH",
"postal_code": "451549446",
"telephone_number": "937-779-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8065 DR FAUL RD",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451218811",
"telephone_number": "937-378-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "DONALD",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "002304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.