Provider Demographics
NPI:1013029115
Name:BECK PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:BECK PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-497-1099
Mailing Address - Street 1:2130 ROUTE 94 STATION ROAD SQUARE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12577
Mailing Address - Country:US
Mailing Address - Phone:845-497-1099
Mailing Address - Fax:845-497-1094
Practice Address - Street 1:2130 ROUTE 94 STATION ROAD SQUARE
Practice Address - Street 2:
Practice Address - City:SALISBURY MILLS
Practice Address - State:NY
Practice Address - Zip Code:12577
Practice Address - Country:US
Practice Address - Phone:845-497-1099
Practice Address - Fax:845-497-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q0WSK1Medicare PIN