Individual provider Active NPI

Carol Beck, PT

  • Physical Therapist
  • Lehi, UT
National Provider Identifier
1679039887
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0906897-2401 Issued in UT
Practice address
310 N 850 E Ste D
Lehi, UT 84043-8623
Phone
(801) 702-8175
NPI assigned
Feb 12, 2019
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 0906897-2401 UT Primary

Addresses

Primary practice location

310 N 850 E Ste D
Lehi, UT 84043-8623

Mailing address

428 W Bountiful Way
Saratoga Springs, UT 84045-4920
Phone (801) 678-4885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405002299 UT Practitioner - Physical Therapist in Private Practice 3678814373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0906897-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reborn Pelvic Health & Wellness Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

1660 W Antelope Dr
Ste 225A
Layton, UT 84041
Phone (801) 702-8475

310 N 850 E
Ste D
Lehi, UT 84043
Phone (801) 216-3117

1815 N 1120 W
Provo, UT 84604
Phone (801) 702-8475

6040 S Fashion Blvd
Ste 101
Salt Lake City, UT 84107
Phone (801) 264-9595

7611 S Jordan Landing Blvd
Ste 130
West Jordan, UT 84084
Phone (801) 216-3117

Organizations & group practices 1

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1679039887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W BOUNTIFUL WAY",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454920",
            "telephone_number": "801-678-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 850 E STE D",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438623",
            "telephone_number": "801-702-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "CAROL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "0906897-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.