Active NPI
Ross Beck, ATC, LAT
- Athletic Trainer
- West Springfield, MA
National Provider Identifier
1245653161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2407
- Practice address
- 124 Myron St
West Springfield, MA 01089-1420 - Phone
- (413) 781-7538
- NPI assigned
- Jan 28, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
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 |
|---|---|---|---|
| 2407 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Past | Accepting new patients | |
| Performance Rehabilitation of Western New England LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2407 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
124 Myron St
West Springfield, MA 01089-1420
Mailing address
43 Depot Rd
Hatfield, MA 01038-9758
Phone (413) 834-2428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2014.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1245653161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 DEPOT RD",
"city": "HATFIELD",
"state": "MA",
"postal_code": "010389758",
"telephone_number": "413-834-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MYRON ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891420",
"telephone_number": "413-781-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "ROSS",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.