Active NPI
Nicholas Andrew Beckham
- Physical Therapist
- Louisville, KY
National Provider Identifier
1699299669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007127
- Practice address
- 210 E Gray St
Louisville, KY 40202-3900 - Phone
- (502) 587-9350
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007127 | KY | Primary |
Addresses
Primary practice location
210 E Gray St
Louisville, KY 40202-3900
Mailing address
9324B Loch Lea LN
Louisville, KY 40291-1453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11700 Commonwealth Dr
Suite 601
Louisville, KY 40299-6303
Phone (502) 509-3136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1860 Mellwood Ave
Ste 267
Louisville, KY 40206
Phone (502) 509-3136
11700 Commonwealth Dr
Ste 601
Louisville, KY 40299
Phone (502) 245-1136
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 and National Provider Directory roles.
-
- Physical Therapist
- Louisville, KY
- NPI 1447797451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1699299669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9324B LOCH LEA LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402911453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E GRAY ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023900",
"telephone_number": "502-587-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKHAM",
"first_name": "NICHOLAS",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.