Jacob Becourtney

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

056295 Issued in NY

Practice address

2708 Broadway
New York, NY 10025-8725

Phone

(646) 307-1617

NPI assigned

Aug 31, 2026

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1730097668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MADISON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258725",
            "telephone_number": "646-307-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECOURTNEY",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "056295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Helena Beckman, MA
• Timothy Beckman, CASAC-T
• Bruce Mitchell Beckwith, LCSW
• Lavone Beckwith, MW
• Lindsay Ann Beckwith, RN
• Samuel Becourtney
• Jenna Michelle Bedard Lukaszewicz, PA-C
• Jaime Lee Bedard, LCSW
• Rachael Elizabeth Bedard, M.D.
• Ann Marie Beddoe, M.D.

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.