Individual provider Active NPI

Jacqueline Louise Becker, DPT

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1750513677
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40179 Issued in CA
Practice address
182 Lakeside Park Dr
Hendersonville, TN 37075-4834
Phone
(760) 410-8485
Fax
(760) 593-2689
NPI assigned
Aug 11, 2009
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13988 TN
Physical Therapist 225100000X 40QA01322300 NJ
Physical Therapist 225100000X 40179 CA Primary

Addresses

Primary practice location

182 Lakeside Park Dr
Hendersonville, TN 37075-4834

Mailing address

182 Lakeside Park Dr
Hendersonville, TN 37075-4834
Phone (760) 410-8485

Other practice location 1

1515 Summit Ave
Cardiff By The Sea, CA 92007-2433
Phone (760) 410-8485

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL beemobilept.com
Other URL beemobilept.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140502001609 CA Practitioner - Physical Therapist in Private Practice 9638311780 Practice locations: Temecula, CA
I20220812000830 TN Practitioner - Physical Therapist in Private Practice 9638311780 Reassigns benefits to 2 organizations
Practice locations: Hendersonville, TN

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

100 Carrick CT
Mt Juliet, TN 37122-8328
Phone (615) 380-4843

182 Lakeside Park Dr
Hendersonville, TN 37075-4834
Phone (760) 410-8485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40179CAMDPharmacist
40QA01322300NJMDPhysical Therapist
13988TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

400 Route 70
Lakewood, NJ 08701
Phone (609) 805-1686

100 Carrick Ct
Mt Juliet, TN 37122
Phone (505) 688-0093

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

230 Glenis Dr
Ste 302
Murfreesboro, TN 37129

1808 8th Ave S
Nashville, TN 37203
Phone (615) 298-3399

Organizations & group practices 3

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1750513677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 LAKESIDE PARK DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754834",
            "telephone_number": "760-410-8485",
            "fax_number": "760-593-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 LAKESIDE PARK DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754834",
            "telephone_number": "760-410-8485",
            "fax_number": "760-593-2689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Cardiff By The Sea",
            "state": "CA",
            "postal_code": "920072433",
            "country_code": "US",
            "telephone_number": "760-410-8485",
            "fax_number": "760-593-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JACQUELINE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13988",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01322300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "beemobilept.com",
            "affiliation": "N",
            "address_1": "1515 Summit Ave",
            "city": "Cardiff",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920072433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "beemobilept.com",
            "affiliation": "N",
            "address_1": "182 LAKESIDE PARK DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370754834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.