Thomas Michael Becker, P.T.
Individual provider Active NPI Physical Therapist · Dubuque, IA
NPI 1497705263 · NPPES record last updated Apr 8, 2013
Key facts
- NPI
- 1497705263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 01329 (IA)
- Practice address
- 1500 Associates Dr
Dubuque, IA 52002-2201 - Phone
- (563) 584-4465
- Fax
- (563) 584-4395
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01329 | IA | Yes |
Addresses
Primary practice location
1500 Associates Dr
Dubuque, IA 52002-2201
Mailing address
1500 Associates Dr
Dubuque, IA 52002-2201
Phone (563) 584-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0474668 | Medicaid | IA |
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2013. 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.