Individual provider Active NPI

Joseph Brandon Beck, PT, DPT, ATC

  • Physical Therapist
  • Bonaire, GA
National Provider Identifier
1346798782
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014676 Issued in GA
Practice address
101 Stillwater Circle
Bonaire, GA 31005
Phone
(478) 293-1680
Fax
(478) 293-1685
NPI assigned
Sep 14, 2016
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014676 GA Primary
Athletic Trainer 2255A2300X AT003042 GA

Addresses

Primary practice location

101 Stillwater Circle
Bonaire, GA 31005

Mailing address

101 Stillwater Circle
Bonaire, GA 31005
Phone (478) 293-1680

Other practice location 1

2 Ed Moore Ct
Suite B
Statesboro, GA 30458-5024
Phone (912) 764-9951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922001326 GA Practitioner - Physical Therapist in Private Practice 5496173536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy, PCGroup PAC ID 1456453968, 3 clinicians

Practice addresses (Care Compare)

101 Stillwater Cir
Bonaire, GA 31005-3857
Phone (478) 293-1680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014676GAMDPhysical Therapist
AT003042GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc Physical Therapist CurrentSince Aug 26, 2020 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 26, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 26, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Core Physical Therapy, PC CurrentSince Jul 5, 2022 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Aug 26, 2020 Accepting new patients
Southern Wellness & Rehab Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

101 Stillwater Cir
Bonaire, GA 31005
Phone (478) 293-1680

6601 Sugarloaf Pkwy
Ste 230
Duluth, GA 30097
Phone (770) 814-3900

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

Organizations & group practices 7

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1346798782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STILLWATER CIRCLE",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "31005",
            "telephone_number": "478-293-1680",
            "fax_number": "478-293-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STILLWATER CIRCLE",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "31005",
            "telephone_number": "478-293-1680",
            "fax_number": "478-293-1685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Ed Moore Ct",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585024",
            "country_code": "US",
            "telephone_number": "912-764-9951",
            "fax_number": "912-489-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "JOSEPH",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014676",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonaire, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.