Christina Beckstrom, PT
Individual provider Active NPI Physical Therapist · Buffalo Grove, IL
NPI 1295100329 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1295100329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.012794 (IL)
- Practice address
- 180 W Half Day Rd
Buffalo Grove, IL 60089-6552 - Phone
- (847) 383-5862
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170210000958 | IL | Practitioner - Physical Therapist in Private Practice | 8820371180 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.012794 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current |
Accepting new patients |
| Healthpro Heritage | Past | Accepting new patients |
Locations
180 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 478-8484
500 Atrium Dr
Vernon Hills, IL 60061
Phone (224) 433-6056
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.012794 | IL | Yes |
Addresses
Primary practice location
180 W Half Day Rd
Buffalo Grove, IL 60089-6552
Mailing address
180 W Half Day Road
Buffalo Grove, IL 60089
Other providers in Buffalo Grove, IL
- Nelli Ban
- Oksana Batejko
- Sara Bayerle
- Kristin Bean
- Faith Salesin Becker
- Benjamin Zalman Belavsky
- Yuliya Belaya
- Wendy M Belletynee
- Nancy Belvisi
- Caitlin Therese Bender
All providers in Buffalo Grove, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.