Jonathan N Beck, PT
Individual provider Active NPI Physical Therapist · Grand Forks, ND
NPI 1902187255 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1902187255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1682 (ND)
- Practice address
- 4500 S Washington St - Altru Specialty Center
Grand Forks, ND 58201 - Phone
- (701) 780-7000
- NPI assigned
- Aug 31, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1682 | ND | Yes |
Addresses
Primary practice location
4500 S Washington St - Altru Specialty Center
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Other providers in Grand Forks, ND
- Tyler John Beattie
- Quinn Eloise Beaudry
- Shellie Danell Bechtold
- Erin Beck
- Gwendolyn J. Beck
- Drew Becker
- Joan M Becker
- Taylor Becker
- Eva Michelle Beeker
- Willow Beere-Kuklinski
All providers in Grand Forks, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.