Individual provider Active NPI

Jamie Beck, PT

  • Physical Therapist
  • Bethany, OK
National Provider Identifier
1609005545
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4227 Issued in OK
Practice address
6729 NW 39TH Expy
Bethany, OK 73008-2605
Phone
(405) 717-6290
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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 4227 OK Primary

Addresses

Primary practice location

6729 NW 39TH Expy
Bethany, OK 73008-2605

Mailing address

6729 NW 39TH Expy
Bethany, OK 73008-2605
Phone (405) 717-6290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000547 OK Practitioner - Physical Therapist in Private Practice 0749436269 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4227OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physical Therapy and Sports Rehab, LLC Physical Therapist CurrentSince May 6, 2015 Accepting new patients
Seiling Municipal Hospital Authority CurrentSince Aug 1, 2024 Accepting new patients
Seiling Municipal Hospital Authority CurrentSince Aug 1, 2024 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

809 NE Highway 60
Seiling, OK 73663
Phone (580) 377-1005

2630 Oklahoma Ave
Woodward, OK 73801
Phone (580) 256-2102

Interoperability endpoints

  • Direct secure messaging: jamie.beck.1@14517.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1609005545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082605",
            "telephone_number": "405-717-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082605",
            "telephone_number": "405-717-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JAMIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.