Justina Rose Becker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6265 Issued in OR

Practice address

51681 Huntington Rd
La Pine, OR 97739-9626

Phone

(541) 536-6122

Fax

(541) 536-6123

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Justina Rose Bauer Thorn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sarah Peterson LCSW LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1316503105
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1487960365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977391888",
            "telephone_number": "541-536-6122",
            "fax_number": "541-536-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51681 HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977399626",
            "telephone_number": "541-536-6122",
            "fax_number": "541-536-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JUSTINA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500682503",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "BAUER THORN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Arrasmith, LMT
• Stacy Ash
• Graham Aron Balcer, O.D.
• Sean Barel, LCSW
• Bearheart Therapy LLC
• Bend Vision Clinic LLC
• Preeti Harshad Bhuva, PHARM D
• Leah M Bishop X, RPH.
• Beth E Blumenstein, M.D.
• Kelly Bolling-Ringler

• Physical Therapist in La Pine, OR
• Providers in La Pine, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.