Dawn Stacey Beckley

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

007890-1 Issued in NY

Practice address

6678 County Road 32
Norwich, NY 13815-3554

Phone

(607) 335-1200

Fax

(607) 334-9848

NPI assigned

Oct 13, 2011

Last updated

Apr 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dawn Stacey O'Brien Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1598040206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DAU CT",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139042812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 COUNTY ROAD 32",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153554",
            "telephone_number": "607-335-1200",
            "fax_number": "607-334-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLEY",
        "first_name": "DAWN",
        "middle_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007890-1",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "O'BRIEN",
            "middle_name": "STACEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alfred C. Barnes III, PH.D.
• Mark Anthony Barreto, MD
• Diona Bass, LMSW
• Valerie L Bates
• Cynthia A Bauman
• Delon Michael Bell
• Rosemary Bender
• Emily Bentivegna, LPN
• Christie Nicole Bergamo, CRPA
• Adam Beyer, PT

• Physical Therapy Assistant in Norwich, NY
• Providers in Norwich, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.