Individual provider Active NPI

Sydney Ann Beck, PT, DPT

  • Physical Therapist
  • Medford, OR
National Provider Identifier
1346072923
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65391 Issued in OR
Practice address
36 Hawthorne St
Medford, OR 97504-7114
Phone
(541) 776-2333
Fax
(541) 776-2495
NPI assigned
Aug 14, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 65391 OR Primary

Addresses

Primary practice location

36 Hawthorne St
Medford, OR 97504-7114

Mailing address

432 Maple St
Central Point, OR 97502-2063
Phone (541) 840-5554

Other practice location 1

709 N Phoenix Rd
Medford, OR 97504-9488
Phone (541) 630-3055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014003178 OR Practitioner - Physical Therapist in Private Practice 1456883529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Physical Therapy LLPGroup PAC ID 4284615311, 12 clinicians

Practice addresses (Care Compare)

36 Hawthorne St
Medford, OR 97504-7114
Phone (541) 776-2666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Physical Therapy LLP Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients

Locations

36 Hawthorne St
Medford, OR 97504
Phone (541) 776-2333

709 N Phoenix Rd
Medford, OR 97504
Phone (541) 324-8006

288 S Pacific Hwy
Talent, OR 97540
Phone (541) 482-6360

Organizations & group practices 1

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": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1346072923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 MAPLE ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022063",
            "telephone_number": "541-840-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047114",
            "telephone_number": "541-776-2333",
            "fax_number": "541-776-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 N Phoenix Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975049488",
            "country_code": "US",
            "telephone_number": "541-630-3055",
            "fax_number": "541-244-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "SYDNEY",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.