Jessica Walton Beck, D.P.T
Individual provider Active NPI Physical Therapist · Bumpass, VA
NPI 1295098804 · NPPES record last updated Jun 19, 2012
Key facts
- NPI
- 1295098804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305207018 (VA)
- Practice address
- 1468 Bethany Church Rd
Bumpass, VA 23024-3506 - Phone
- (804) 543-7283
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305207018 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207018 | VA | Yes |
Addresses
Primary practice location
1468 Bethany Church Rd
Bumpass, VA 23024-3506
Mailing address
1468 Bethany Church Rd
Bumpass, VA 23024-3506
Phone (804) 543-7283
Other providers in Bumpass, VA
- Box Elder Behavioral Health LLC
- Circle of Change, LLC
- Amberlee Dicken
- Alexander Dillard
- Katrina Leigh Duff
All providers in Bumpass, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.