Active NPI
Sheila Denise Beck
- Physical Therapist
- Center Ridge, AR
National Provider Identifier
1285736074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1575
- Practice address
- 1091 Dutton Mountain Rd
Center Ridge, AR 72027-8547 - Phone
- (501) 893-6418
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT 1575 | AR | Primary |
Addresses
Primary practice location
1091 Dutton Mountain Rd
Center Ridge, AR 72027-8547
Mailing address
1091 Dutton Mountain Rd
Center Ridge, AR 72027-8547
Phone (501) 893-6418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5U984 | Other | AR | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| PT 1575 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285736074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1091 DUTTON MOUNTAIN RD",
"city": "CENTER RIDGE",
"state": "AR",
"postal_code": "720278547",
"telephone_number": "501-893-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 DUTTON MOUNTAIN RD",
"city": "CENTER RIDGE",
"state": "AR",
"postal_code": "720278547",
"telephone_number": "501-893-6418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "SHEILA",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 1575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5U984",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Center Ridge, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.