Individual provider Active NPI

Lydia Beckman, LAT, ATC

  • Athletic Trainer
  • Glen Mills, PA
National Provider Identifier
1598221871
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
300 Evergreen Dr Ste 200
Glen Mills, PA 19342-1059
Phone
(610) 876-0347
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

300 Evergreen Dr Ste 200
Glen Mills, PA 19342-1059

Mailing address

249 Christiana Rd
New Castle, DE 19720-2907
Phone (302) 312-3499

Other practice location 1

360 Union Church Rd
Townsend, DE 19734-9109
Phone (302) 312-3499

Other practice location 2

249 Christiana Rd
New Castle, DE 19720-2907
Phone (302) 312-3499

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

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1598221871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CHRISTIANA RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202907",
            "telephone_number": "302-312-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EVERGREEN DR STE 200",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421059",
            "telephone_number": "610-876-0347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Union Church Rd",
            "address_purpose": "LOCATION",
            "city": "Townsend",
            "state": "DE",
            "postal_code": "197349109",
            "country_code": "US",
            "telephone_number": "302-312-3499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Christiana Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197202907",
            "country_code": "US",
            "telephone_number": "302-312-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "LYDIA",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.