Individual provider Active NPI

Jamie Michelle Becker, PT, DPT

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1457785230
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40487 Issued in CA
Practice address
520 N Prospect Ave
Redondo Beach, CA 90277-3041
Phone
(310) 376-9222
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 40487 CA Primary

Addresses

Primary practice location

520 N Prospect Ave
Redondo Beach, CA 90277-3041

Mailing address

5003 Pearce Ave
Lakewood, CA 90712-2752
Phone (310) 489-3812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220000305 CA Practitioner - Physical Therapist in Private Practice 9638494347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redondo Orthopedic Physical TherapyGroup PAC ID 8729382668, 14 clinicians

Practice addresses (Care Compare)

520 N Prospect Ave
Suite 100
Redondo Beach, CA 90277-3033
Phone (310) 376-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redondo Orthopedic Physical Therapy Physical Therapist CurrentSince Jul 2, 2018 Accepting new patients
Pro-Health Physical Therapy Inc. Physical Therapist CurrentSince Jan 20, 2015 Accepting new patients
Kiley Chiropractic PastSince Jan 20, 2015 Accepting new patients

Locations

31244 Palos Verdes Dr W
Ste 209
Rancho Palos Verdes, CA 90275
Phone (310) 544-7325

2850 Artesia Blvd
Ste 207
Redondo Beach, CA 90278
Phone (310) 371-4774

520 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-9222

Organizations & group practices 3

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1457785230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 PEARCE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122752",
            "telephone_number": "310-489-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-376-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JAMIE",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.