Active NPI
Jacqueline Louise Becker, DPT
- Physical Therapist
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40179
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | beemobilept.com | ||
| Other URL | beemobilept.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40179 | CA | MD | Pharmacist |
| 40QA01322300 | NJ | MD | Physical Therapist |
| 13988 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
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.