AMY DIANE BECKSTROM (NPI# 1457694739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457694739 |
| Entity Type | Individual |
| Full Name | AMY DIANE BECKSTROM |
| Other Name | AMY DIANE WILSON |
| Credential | PTA |
| Practice Address |
2781 Osborn Dr Lake Havasu City AZ 86406-8629 |
| Mailing Address |
470 Acoma Blvd S #136 Lake Havasu City AZ 86406-7799 |
| Practice Telephone | 9285055552 |
| Mailing Telephone | 9284125100 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 2095570 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | 10146A | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2781 OSBORN DR |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86406-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411981 | Anasazi Health Care, Inc. | Skilled Nursing Facility | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2005-07-21 |
| 1669025391 | Erin Lindsay Magee | Occupational Therapist | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2019-07-22 |
| 1932637196 | Susan Marissa Roman | Occupational Therapy Assistant | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2017-05-31 |
| 1366978603 | Haven of Lake Havasu LLC | Skilled Nursing Facility | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2017-05-05 |
| 1144776535 | David Funk | Physical Therapist | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2016-08-26 |
| 1326463019 | Kenneth Van Wyk | Physical Therapist | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2014-03-04 |
| 1063845824 | Jennifer Kaley | Physical Therapy Assistant | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2013-08-15 |
| 1013356773 | Kristal Lee Pruett | Physical Therapy Assistant | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2013-06-17 |
| 1083052385 | Melissa Peru | Occupational Therapy Assistant | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2013-06-07 |
| 1023356920 | Ramon Engracia | Physical Therapist | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2013-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924070 | James Richard Fisher | Durable Medical Equipment & Medical Supplies | 2540 Viejo Dr, Lake Havasu City, AZ 86406 | 2008-02-27 |
| 1265657969 | Eugene Vitvitsky Md | Surgery | 2046 Burke Lane, Lake Havasu City, AZ 86406 | 2007-04-16 |
| 1659497105 | Assisted Living Concepts Inc | Assisted Living Facility | 3076 Shoshone Drive, Lake Havasu, AZ 86406 | 2007-03-22 |
| 1164546750 | Charles Reese Mead | Dentist | 101 Riveria Dr, Lake Havasu, AZ 86406 | 2007-03-19 |
| 1427172550 | Jesdeen Lynn Nunez | Registered Nurse | 12033 Agency Road, Parker, AZ 86406 | 2007-03-16 |
| 1285797993 | Karen Ann Powell | Podiatrist | Oro Grande Elementary 1250 Pawnee Drive, Lake Havasu City, AZ 86406 | 2006-12-18 |
| 1215978606 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2800 Sweetwater Ave, Lake Havasu City, AZ 86406 | 2006-06-09 |
| 1467519512 | Catherine Evelyn Sondrol | Occupational Therapist | 3588 Tarpon Dr, Lake Havasu City, AZ 86406-4223 | 2007-01-01 |
| 1346477593 | Steven Bertovich | Registered Nurse | 3499 Tarpon Dr, Lake Havasu City, AZ 86406-4246 | 2009-06-15 |
| 1093975310 | Serenity Assisted Living | Assisted Living Facility | 3677 Blue Colt Dr, Lake Havasu City, AZ 86406-4273 | 2008-06-10 |
| Find all providers in zip 86406 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326561739 | Steven B Mccraw | Physical Therapy Assistant | 1948 Mesquite Ave Ste 101, Lake Havasu City, AZ 86403-5777 | 2017-07-18 |
| 1346641222 | Benjamin Gray | Physical Therapy Assistant | 3540 Kiowa Blvd S, Lake Havasu City, AZ 86404-3428 | 2014-09-10 |
| 1215276217 | Lara Goodell | Physical Therapy Assistant | 297 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-6526 | 2013-02-11 |
| 1396942421 | Luana Kay Luna | Physical Therapy Assistant | 3193 Pioneer Dr, Lake Havasu City, AZ 86404-4105 | 2007-07-02 |
| 1104424449 | Mariah Roush | Physical Therapy Assistant | 1948 Mesquite Ave Ste 101, Lake Havasu City, AZ 86403-5777 | 2020-10-09 |
| 1053723221 | Julie Hofman | Physical Therapy Assistant | 1948 Mesquite Ave, Suite 101, Lake Havasu City, AZ 86403-5777 | 2014-05-22 |
| 1063845824 | Jennifer Kaley | Physical Therapy Assistant | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2013-08-15 |
| 1013356773 | Kristal Lee Pruett | Physical Therapy Assistant | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2013-06-17 |
| 1063762102 | Ronni M Sikes | Physical Therapy Assistant | 1948 Mesquite Ave, Ste 101, Lake Havasu City, AZ 86403-5777 | 2012-09-17 |
| 1568710705 | Cheryl Ann Dameron | Physical Therapy Assistant | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2012-08-20 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.