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MR. MIKEAL DWAIN BECK CPLPO NPI 1174522668


NPI Information

NPI: 1174522668
Provider Name: MR. MIKEAL DWAIN BECK, CP,LPO
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
1709 FORT WORTH HWY
WEATHERFORD, TX
ZIP 76086
Phone: (817) 594-1000
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MR. Mikeal Dwain Beck, CP,LPO is an orthotist in Weatherford, TX. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Mikeal Dwain Beck, CP,LPO NPI is 1174522668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1709 FORT WORTH HWY
WEATHERFORD, TX
ZIP 76086-609
Phone: (817) 594-1000
Fax: (817) 594-8011

The enumeration date for this NPI number is 7/18/2005 and was last updated on 4/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224P00000XProsthetist77TEXASNo
2225000000XOrthotic Fitter77TEXASNo
3222Z00000XOrthotist77TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14234670001MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2145839001MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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