Individual provider Active NPI

Jessica Carol Beckman, DPT

  • Physical Therapist
  • Cleveland, TN
National Provider Identifier
1396269809
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11465 Issued in TN
Practice address
3760 Ocoee PL NW Ste 101
Cleveland, TN 37312-5637
Phone
(423) 336-3795
Fax
(423) 336-3796
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 11465 TN Primary

Addresses

Primary practice location

3760 Ocoee PL NW Ste 101
Cleveland, TN 37312-5637

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other names 1

  • Jessica Carol Stoens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170925003676 TN Practitioner - Physical Therapist in Private Practice 6002180361 Reassigns benefits to 2 organizations
I20230526002094 IA Practitioner - Physical Therapist in Private Practice 6002180361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Valley Physical Therapy CenterGroup PAC ID 9638087877, 232 clinicians

Practice addresses (Care Compare)

419 W Bridge Rd a
Polk City, IA 50226-0142
Phone (515) 984-6377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince May 25, 2023 Accepting new patients
Agilitas USA, Inc CurrentSince Aug 11, 2017 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 11, 2017 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince May 25, 2023 Accepting new patients

Locations

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

419 W Bridge Rd
Ste A
Polk City, IA 50226
Phone (515) 984-6377

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

3760 Ocoee Pl NW
Ste 101
Cleveland, TN 37312
Phone (423) 336-3795

3575 Keith St NW
Ste 205
Cleveland, TN 37312
Phone (423) 559-0444

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1396269809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 OCOEE PL NW STE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125637",
            "telephone_number": "423-336-3795",
            "fax_number": "423-336-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "JESSICA",
        "middle_name": "CAROL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STOENS",
            "middle_name": "CAROL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.