Individual provider Active NPI

Becky Jean Pearson, PT

  • Physical Therapist
  • Broken Bow, NE
National Provider Identifier
1386948750
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2419 Issued in NE
Practice address
2021 South E St.
Suite 1
Broken Bow, NE 68822-1848
Phone
(308) 872-5800
Fax
(308) 872-5803
NPI assigned
Dec 29, 2010
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 2419 NE Primary

Addresses

Primary practice location

2021 South E St.
Suite 1
Broken Bow, NE 68822-1848

Mailing address

2021 South E St.
Suite 1
Broken Bow, NE 68822-1848
Phone (308) 872-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2419NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Rehab & Performance, PC Physical Therapist CurrentSince Feb 1, 2011 Accepting new patients
Hability Solution Services, Inc. Physical Therapist Past Accepting new patients

Locations

2021 S E St
Ste 1
Broken Bow, NE 68822
Phone (308) 872-5800

Organizations & group practices 2

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": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1386948750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SOUTH E ST.",
            "address_2": "SUITE 1",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221848",
            "telephone_number": "308-872-5800",
            "fax_number": "308-872-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SOUTH E ST.",
            "address_2": "SUITE 1",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221848",
            "telephone_number": "308-872-5800",
            "fax_number": "308-872-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "BECKY",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.