Active NPI
Courtney A Beckman, OTR/L
- Occupational Therapist
- Memphis, IN
National Provider Identifier
1780159335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006518A
- Practice address
- 5705 Greenland Pass
Memphis, IN 47143 - Phone
- (812) 629-5251
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006518A | IN | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31006518A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5705 Greenland Pass
Memphis, IN 47143
Mailing address
5705 Greenland Pass
Memphis, IN 47143-9288
Phone (812) 629-5251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2018.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1780159335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 GREENLAND PASS",
"city": "MEMPHIS",
"state": "IN",
"postal_code": "471439288",
"telephone_number": "812-629-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 GREENLAND PASS",
"city": "MEMPHIS",
"state": "IN",
"postal_code": "47143",
"telephone_number": "812-629-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "COURTNEY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006518A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.