Active NPI
Djuana Beck
- Physical Therapist
- Morrilton, AR
National Provider Identifier
1255445391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1593
- 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.
-
- Physical Therapist
- Morrilton, AR
- NPI 1457918468
AR, Physical Therapist
-
- Physical Therapist
- Springfield, AR
- NPI 1942266440
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 1593 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Phase Physical Therapy Inc | Physical Therapist | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 1593 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127240721 | Medicaid | AR | |
| 5U984 | Other | AR | BLUE 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.