Individual provider Active NPI

Robert T Beck Jr., P.T.

  • Physical Therapist
  • Salisbury Mills, NY
National Provider Identifier
1497852792
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016310-1 Issued in NY
Practice address
2130 Route 94
Station Road Square
Salisbury Mills, NY 12577
Phone
(845) 497-1099
Fax
(845) 497-1094
NPI assigned
Sep 20, 2006
Last updated
Mar 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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 016310-1 NY Primary

Addresses

Primary practice location

2130 Route 94
Station Road Square
Salisbury Mills, NY 12577

Mailing address

2130 Route 94
Station Road Square
Salisbury Mills, NY 12577
Phone (845) 497-1099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000289 NY Practitioner - Physical Therapist in Private Practice 5294814364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2130 Route 94 Station Rd SQ
Salisbury Mills, NY 12577
Phone (845) 497-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016310-1NYMDPhysical Therapist
016310NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beck Physical Therapy, P.C. CurrentSince Aug 8, 2001 Accepting new patients

Locations

2130 Route 94
Salisbury Mls, NY 12577
Phone (845) 497-1099

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1497852792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 ROUTE 94",
            "address_2": "STATION ROAD SQUARE",
            "city": "SALISBURY MILLS",
            "state": "NY",
            "postal_code": "12577",
            "telephone_number": "845-497-1099",
            "fax_number": "845-497-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 ROUTE 94",
            "address_2": "STATION ROAD SQUARE",
            "city": "SALISBURY MILLS",
            "state": "NY",
            "postal_code": "12577",
            "telephone_number": "845-497-1099",
            "fax_number": "845-497-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016310-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.