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1285365007

NPI Code Detail

MEDICARE: MATTHEW ALLEN BECKNER PT, DPT

MEDICARE: MATTHEW ALLEN BECKNER PT, 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
1	225100000X	Physical Therapist	11425R	LA
2	225100000X	Physical Therapist	PT61422077	WA
3	225100000X	Physical Therapist	2179	WY

General Provider Information

NPI Number	:	1285365007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW ALLEN BECKNER PT, DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	9514 GRAVELLY LAKE DR SW STE W18
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-1514
Country	:	US
Telephone Number	:	253-433-7140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2022
Last Update Date	:	03/09/2026

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Directions to “ MATTHEW ALLEN BECKNER PT, DPT” Practice Location

Language	Start Address	Practice Location

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