Kimberly Kay Becker, PTA
Individual provider Active NPI Physical Therapy Assistant · Kewanee, IL
NPI 1467150367 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1467150367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1051 W South St
Kewanee, IL 61443 - Phone
- (309) 852-7931
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
1051 W South St
Kewanee, IL 61443
Mailing address
1051 W South St
Kewanee, IL 61443-8354
Other providers in Kewanee, IL
- Arcadia Care Kewanee LLC
- Arcadia Care Kewanee LLC
- Ali Jon Asadi
- Avenues at Royal Oak LLC
- Avenues at Royal Oak LLC
- Tami Marie Beckman
- Elizabeth Ann Bermudez
- Taylor Elizabeth Blair
- Miranda Boss
- Leslie N Bowser
All providers in Kewanee, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.