MEDICARE: DR. JUSTIN BECKER PT

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	2251S0007X	Sports Physical Therapist	LPT-31440	AZ

General Provider Information

NPI Number	:	1538776489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN BECKER PT

Provider Business Mailing Address
First Line	:	6602 E SHARON DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-3950
Country	:	US
Telephone Number	:	480-268-8066
Fax Number	:

Provider Business Practice Location Address
First Line	:	6602 E SHARON DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-3950
Country	:	US
Telephone Number	:	480-268-8066
Fax Number	:

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

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	09/24/2020

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Directions to “ DR. JUSTIN BECKER PT” Practice Location

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