DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LISA EVANS BECKNER DPT

MEDICARE: LISA EVANS BECKNER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist38987CA
2225100000XPhysical TherapistPT26206FL

General Provider Information

NPI Number : 1093074171
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA EVANS BECKNER DPT
Provider Business Mailing Address
First Line : 613 12TH AVE N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-4763
Country : US
Telephone Number : 727-515-2167
Fax Number :
Provider Business Practice Location Address
First Line : 905 ASSISI LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32233-2972
Country : US
Telephone Number : 904-583-5399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2012
Last Update Date : 11/07/2023

Similar Medicare Providers

1093222515 — ANTHEM LAKES
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-746-7220
Practice Fax:
1538728498 — AQUILLA LYNETTE CRIBB
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-667-3660
Practice Fax: 904-240-4429
1891340550 — JOSEPH RAYMOND JUMARANG
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-667-3660
Practice Fax:
1821648577 — DANIELLE WOODRING
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-667-3660
Practice Fax: 904-240-4429
1477216315 — LEGACY HEALTHCARE SERVICES INC
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 855-239-3467
Practice Fax:
1053206615 — VTR ANTHEM LAKES, LLC
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-583-5399
Practice Fax:

Directions to “ LISA EVANS BECKNER DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.