Cory Beck, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Idaho Falls, ID
NPI 1376147991 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1376147991
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT-4407 (ID)
- Practice address
- 804 Pancheri Dr
Idaho Falls, ID 83402-3344 - Phone
- (208) 206-0885
- NPI assigned
- Nov 24, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empower PT, PLLC
Practice addresses (Care Compare)
804 Pancheri Dr
Idaho Falls, ID 83402-3344
Phone (208) 403-7422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210503000279 | ID | Practitioner - Physical Therapist in Private Practice | 7719396894 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower PT, PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
804 Pancheri Dr
Idaho Falls, ID 83402
Phone (208) 403-7422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT-4407 | ID | Yes |
Addresses
Primary practice location
804 Pancheri Dr
Idaho Falls, ID 83402-3344
Mailing address
3840 Summerwood LN
Ammon, ID 83406-7539
Phone (208) 206-0885
Other providers in Idaho Falls, ID
- Cameron S. Baxter
- Adam Beaderstadt
- Carrie Bean
- Courtney Bean
- Stacy Beazer-Rogers
- Luke David Beck
- Natalie Nicole Beck
- Ruth S Beck
- Christian Becker
- Saige Becker
All providers in Idaho Falls, ID · Orthopedic Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.