MEDICARE: MR. RILEY LEIGH BECK 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	P19364	NC

General Provider Information

NPI Number	:	1609233857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RILEY LEIGH BECK DPT

Provider Business Mailing Address
First Line	:	906 MEBANE OAKS RD
Second Line	:
City	:	MEBANE
State	:	NC
Zip	:	27302-7951
Country	:	US
Telephone Number	:	919-563-1825
Fax Number	:	919-563-1833

Provider Business Practice Location Address
First Line	:	2766 NC HIGHWAY 68 S STE 105
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8385
Country	:	US
Telephone Number	:	336-889-7063
Fax Number	:	336-889-6474

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

Provider Enumeration Date	:	01/19/2016
Last Update Date	:	03/31/2026

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