Healthcare Provider Details

I. General information

NPI: 1881388528
Provider Name (Legal Business Name): SARA J BECK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 W BROAD ST STE 100
FALLS CHURCH VA
22046-3131
US

IV. Provider business mailing address

8055 GATEHOUSE RD
FALLS CHURCH VA
22042-1201
US

V. Phone/Fax

Practice location:
  • Phone: 571-378-1272
  • Fax:
Mailing address:
  • Phone: 386-481-8473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305215707
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: