NPI 1669742813 · live from the CMS NPI Registry
John Becker, PT,DPT
Physical Therapist in Waterloo, IL. National Provider Identifier 1669742813, active.
NPI record
| NPI | 1669742813 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 509 Hamacher St, Suite 101, Waterloo, IL 62298 |
| Practice phone | 618-939-5555 |
| Mailing address | Po Box 269084, Oklahoma City, OK 73126 |
| Enumerated | January 5, 2012 |
| Last updated | January 27, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 9500 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.