Kelsey Beckmann, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056013306 Issued in IL

Practice address

927 Broadway St Ste 100
Quincy, IL 62301-2728

Phone

(217) 222-9300

NPI assigned

Oct 1, 2019

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Larson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1104836105
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1306487319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012728",
            "telephone_number": "217-222-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012728",
            "telephone_number": "217-222-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMANN",
        "first_name": "KELSEY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "LARSON",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Loretta A Baustian, D.O.
• Jessica Elizabeth Beaston, LCPC
• Kevin M Becker, OD
• Taylor Orr Becker, RN
• Lauren Leigh Anne Beckett
• Amanda Becks, MSW, LSW
• Becky Grimm DC SC
• Michael Andrew Behrens, CNP
• Sonia Lee Behrens
• Jonna C. Bell, R.PH.

• Occupational Therapist in Quincy, IL
• Providers in Quincy, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.