Active NPI
Elizabeth Anne Becker, P.T.
- Physical Therapist
- Eureka, CA
National Provider Identifier
1891037958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40039
- Practice address
- 2885 Harris St
Eureka, CA 95503-4808 - Phone
- (707) 832-6071
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1895 | SC | |
| Physical Therapist | 225100000X | PT012624L | PA | |
| Physical Therapist | 225100000X | 040.0133979 | VT | |
| Physical Therapist | 225100000X | 4341 | NH | |
| Physical Therapist | 225100000X | 40039 | CA | Primary |
Addresses
Primary practice location
2885 Harris St
Eureka, CA 95503-4808
Mailing address
1 Yonce CT
Simpsonville, SC 29681-5657
Phone (803) 873-8044
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 |
|---|---|---|---|
| 1895 | SC | MD | Psychologist |
| 40039 | CA | MD | Pharmacist |
| 4341 | NH | MD | Physical Therapist |
| PT012624L | PA | MD | Physical Therapist |
| 040.0133979 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1891037958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 YONCE CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296815657",
"telephone_number": "803-873-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034808",
"telephone_number": "707-832-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1895",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012624L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0133979",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4341",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.