Melissa D Beck, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT4650 Issued in MS

Practice address

7600 Airways Blvd Ste a
Suite 2
Southaven, MS 38671-5138

Phone

(662) 536-4096

Fax

(662) 536-4099

NPI assigned

Jul 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1710141304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD STE A",
            "address_2": "SUITE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715138",
            "telephone_number": "662-536-4096",
            "fax_number": "662-536-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD STE A",
            "address_2": "SUITE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715138",
            "telephone_number": "662-536-4096",
            "fax_number": "662-536-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PT4650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Scott Bauer, MA, CCC-SLP
• Montana R Bawcum, MOT, OTR/L
• Nahum M Beard, MD
• Beautiful Blessings Non-Medical Home Care, LLC
• Beautiful Minds Behavioral Solutions LLC
• Elizabeth Beckham
• Behavior, Attention, and Developmental Disabilities Consultants, LLC
• Amber Eiland Bell
• Kennedy B Bell, LPC
• Sonia M Benn, MD

• Physical Therapy Assistant in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.