Individual provider Active NPI

Melissa Rhoades Beck, PT

  • Physical Therapist
  • Dekalb, IL
National Provider Identifier
1316045669
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3266 Resource Parkway
Dekalb, IL 60115-5330
Phone
(815) 756-8524
Fax
(815) 756-1841
NPI assigned
Sep 20, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

3266 Resource Parkway
Dekalb, IL 60115-5330

Mailing address

3266 Resource Parkway
Dekalb, IL 60115-5330
Phone (815) 756-8524

Other names 1

  • Miss Melissa Ann Rhoades Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000091 IL Practitioner - Physical Therapist in Private Practice 8527064476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3266 Sycamore Rd
Dekalb, IL 60115-9621
Phone (815) 756-8524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Rehabilitation & Sports Medicine Associates, Inc. Physical Therapist CurrentSince Sep 5, 2006 Accepting new patients
Northern Rehabilitation and Sports Medicine Associates Physical Therapist CurrentSince Sep 5, 2006 Accepting new patients
Northern Rehabilitation and Sports Medicine Associates Physical Therapist Past Accepting new patients

Locations

3266 Resource Pkwy
DeKalb, IL 60115
Phone (815) 756-2369

3266 Sycamore Rd
DeKalb, IL 60115
Phone (815) 756-5150

1211 Currency Ct
#C
Rochelle, IL 61068
Phone (815) 562-3299

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1316045669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 RESOURCE PARKWAY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155330",
            "telephone_number": "815-756-8524",
            "fax_number": "815-756-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 RESOURCE PARKWAY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155330",
            "telephone_number": "815-756-8524",
            "fax_number": "815-756-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "MELISSA",
        "middle_name": "RHOADES",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RHOADES",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.

Verify at the official NPI Registry.