Active NPI
Jennifer Rae Beckner, PTA
- Hearing Instrument Specialist
- Bridgeville, PA
National Provider Identifier
1487778205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- F03885
- Practice address
- 1597 Washington Pike
Bridgeville, PA 15017 - Phone
- (412) 564-5682
- Fax
- (412) 564-5479
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE-005671-L | PA | |
| Hearing Instrument Specialist | 237700000X | F03885 | PA | Primary |
Addresses
Primary practice location
1597 Washington Pike
Bridgeville, PA 15017
Mailing address
2501 Cottontail Lane
Somerset, NJ 08873
Phone (888) 873-6493
Other names 1
- Ms. Jennifer Rae Gulish
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE-005671-L | PA | MD | Physical Therapy Assistant |
| F03885 | PA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1487778205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 COTTONTAIL LANE",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "08873",
"telephone_number": "888-873-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1597 WASHINGTON PIKE",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "15017",
"telephone_number": "412-564-5682",
"fax_number": "412-564-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKNER",
"first_name": "JENNIFER",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE-005671-L",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "F03885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GULISH",
"middle_name": "RAE",
"prefix": "MS.",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.