Individual provider Active NPI

Djuana Beck

  • Physical Therapist
  • Morrilton, AR
National Provider Identifier
1255445391
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1593 Issued in AR
Practice address
1307 E Harding St Ste B
Morrilton, AR 72110-2239
Phone
(501) 208-8063
Fax
(501) 354-1133
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Phase Physical Therapy Inc 4 clinicians

Practice addresses (Care Compare)

1307 E Harding St
Suite B
Morrilton, AR 72110-2239
Phone (501) 208-8063

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190716001108 AR Practitioner - Physical Therapist in Private Practice 0143555979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1593ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Phase Physical Therapy Inc Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Primarily Pediatrics, Inc Physical Therapist Past Accepting new patients

Locations

1307 E Harding St
Ste B
Morrilton, AR 72110
Phone (501) 208-8063

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 1593 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1307 E Harding St Ste B
Morrilton, AR 72110-2239

Mailing address

PO Box 363
Morrilton, AR 72110-0363
Phone (501) 208-8063

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
127240721MedicaidAR
5U984OtherARBLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2020.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1255445391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100363",
            "telephone_number": "501-208-8063",
            "fax_number": "501-354-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E HARDING ST STE B",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102239",
            "telephone_number": "501-208-8063",
            "fax_number": "501-354-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "DJUANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127240721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5U984",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.