Individual provider Active NPI

Maureen Christine Becker, PT DHSC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1801975677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
73721 Issued in NY
Practice address
4353 Hylan Blvd
Devita Becker Physical Therapy PC
Staten Island, NY 10312
Phone
(718) 967-3363
Fax
(718) 967-5437
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 73721 NY Primary

Addresses

Primary practice location

4353 Hylan Blvd
Devita Becker Physical Therapy PC
Staten Island, NY 10312

Mailing address

4353 Hylan Blvd
In Care of Devita Becker Physical Therapy PC
Staten Island, NY 10312
Phone (718) 967-3363

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
73721NYMDPhysical Therapist
007372NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neil J. Anastasio Physical Therapist CurrentSince Aug 30, 2012 Accepting new patients
Leaps and Bounds Physical Therapy Physical Therapist PastSince Feb 1, 2002 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801975677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 HYLAN BLVD",
            "address_2": "IN CARE OF DEVITA BECKER PHYSICAL THERAPY PC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-967-3363",
            "fax_number": "718-967-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 HYLAN BLVD",
            "address_2": "DEVITA BECKER PHYSICAL THERAPY PC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-967-3363",
            "fax_number": "718-967-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MAUREEN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "PT DHSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "73721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.