Beckett Ridge Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07586 Issued in OH

Legal business name

BECKETT RIDGE PHYSICAL THERAPY

Practice address

4934 Wunnenberg Wy
West Chester, OH 45069

Phone

(513) 874-2778

Fax

(513) 881-2252

NPI assigned

Jan 17, 2007

Last updated

Jan 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt J Klusman, PT

Title

Owner

Phone

(513) 874-2778

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1598817165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694985",
            "telephone_number": "513-874-2778",
            "fax_number": "513-881-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 WUNNENBERG WY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-874-2778",
            "fax_number": "513-881-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKETT RIDGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "KLUSMAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-874-2778",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "07586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Beck, SL
• Karen E Beck, CNP
• Margaret Beck
• Beckett Ridge Chiropractic LLC
• Beckett Ridge Family Medicine, Inc.
• Beckett Springs Physician Group LLC
• Beckett Springs Physician Group LLC
• Beckett Springs, LLC (Beckett Springs)
• Beckett Springs, LLC (Changes Beckett Springs)
• Beckett Springs, LLC (Beckett Springs)

• Physical Therapist in West Chester, OH
• Providers in West Chester, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.