Active NPI
Becky Jean Pearson, PT
- Physical Therapist
- Broken Bow, NE
National Provider Identifier
1386948750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2419
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2419 | NE | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Rehab & Performance, PC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Broken Bow, NE
- NPI 1952605222
Physical Therapist
-
- Driving and Community Mobility Occupational Therapist
- Kearney, NE
- NPI 1811060858
Physical Therapist
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.