Individual provider Active NPI

Anne Caroline Beck, PT, NBC-HWC

  • Physical Therapist
  • Paducah, KY
National Provider Identifier
1992053326
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002235 Issued in KY
Practice address
100 Kiana CT Apt a
Paducah, KY 42001-6767
Phone
(270) 443-0681
Fax
(270) 442-7948
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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
A-3372155KYMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy LLC CurrentSince Oct 31, 2022 Accepting new patients
Biokinetics Inc. Physical Therapist Past Accepting new patients
Biokinetics, Inc PastSince Aug 6, 2014 Accepting new patients

Locations

100 Kiana Ct
Apt A
Paducah, KY 42001
Phone (270) 408-2123

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X A-3372155 KY
Physical Therapist 225100000X 002235 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Kiana CT Apt a
Paducah, KY 42001-6767

Mailing address

100 Kiana CT Apt a
Paducah, KY 42001-6767
Phone (270) 443-0681

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
12420066OtherKYCAQH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2023.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1992053326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIANA CT APT A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016767",
            "telephone_number": "270-443-0681",
            "fax_number": "270-442-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KIANA CT APT A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016767",
            "telephone_number": "270-443-0681",
            "fax_number": "270-442-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "ANNE",
        "middle_name": "CAROLINE",
        "credential": "PT, NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "KY",
            "license": "A-3372155",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12420066",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.