Individual provider Active NPI

Kali Rae Beck, PT, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1659110393
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.12343 Issued in SC
Practice address
505 Elm St NE
Albuquerque, NM 87102-2500
Phone
(505) 727-4725
NPI assigned
May 22, 2024
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 PT.12343 SC Primary

Addresses

Primary practice location

505 Elm St NE
Albuquerque, NM 87102-2500

Mailing address

1205 New Canopy CT
Summerville, SC 29486-7975
Phone (843) 300-8887

Other practice location 1

2060 Northbrook Blvd Ste 101
North Charleston, SC 29406-9811
Phone (843) 797-5167

Other identifiers 1

IdentifierTypeStateIssuer
PT-2025-0036OtherNMNM LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240918003622 SC Practitioner - Physical Therapist in Private Practice 0749721611 Reassigns benefits to 1 organization
I20250304002056 NM Practitioner - Physical Therapist in Private Practice 0749721611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1692 B Hospital Dr
Suite 202
Santa Fe, NM 87505-4825
Phone (505) 982-6399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.12343SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy Physical Therapist CurrentSince Jun 29, 2024 Accepting new patients
Lovelace Unm Rehabilitation Hospital, LLC CurrentSince Mar 1, 2025 Accepting new patients
Lovelace Unm Rehabilitation Hospital LLC Current Accepting new patients
Southwest Medical Associates, LLC PastSince Apr 11, 2021 Accepting new patients

Locations

505 Elm St NE
Albuquerque, NM 87102
Phone (505) 727-4700

1692B Hospital Dr
Ste 202
Santa Fe, NM 87505
Phone (505) 982-0639

2060 Northbrook Blvd
Ste 101
North Charleston, SC 29406
Phone (843) 797-5167

Organizations & group practices 4

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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1659110393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 NEW CANOPY CT",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867975",
            "telephone_number": "843-300-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022500",
            "telephone_number": "505-727-4725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 Northbrook Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069811",
            "country_code": "US",
            "telephone_number": "843-797-5167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "KALI",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT.12343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "PT-2025-0036",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.