Organization Active NPI

Becki Lentz Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Mecosta, MI
National Provider Identifier
1962542308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501006244 Issued in MI
Legal business name
BECKI LENTZ PHYSICAL THERAPY, INC.
Practice address
9052 11 Mile Rd
Mecosta, MI 49332-9743
Phone
(231) 972-8289
Fax
(231) 972-7981
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Becki Jo Lentz, PTNPI 1447285861
Title
Owner
Phone
(231) 972-8289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501006244 MI Primary

Addresses

Primary practice location

9052 11 Mile Rd
Mecosta, MI 49332-9743

Mailing address

9052 11 Mile Rd
Mecosta, MI 49332-9743
Phone (231) 972-8289

Other identifiers 1

IdentifierTypeStateIssuer
1447285861OtherMIINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130802000873 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719989243 Receives reassigned benefits from 1 practitioner
Practice locations: Mecosta, MI

National Provider Directory

National Provider Directory

Locations

9052 11 Mile Rd
Mecosta, MI 49332
Phone (231) 972-8289

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962542308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9052 11 MILE RD",
            "city": "MECOSTA",
            "state": "MI",
            "postal_code": "493329743",
            "telephone_number": "231-972-8289",
            "fax_number": "231-972-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9052 11 MILE RD",
            "city": "MECOSTA",
            "state": "MI",
            "postal_code": "493329743",
            "telephone_number": "231-972-8289",
            "fax_number": "231-972-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKI LENTZ PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "BECKI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-972-8289",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501006244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447285861",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mecosta, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.