CMS-1500 Box 24J / 33a • NPI
1104580166
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225200000X
Licensed & Credentialed Physical Therapy Assistant
Box 32 Service Location & ZIP+4
902 E LINCOLN RD, IDABEL, OK, 74745-7337
✓ 9-Digit EDI 837 ZIP+4 (74745-7337)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104580166 (NATALIE NICOLE BECK, PTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104580166 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NATALIE NICOLE BECK, PTA |
| Plain-English Specialty | Licensed & Credentialed Physical Therapy Assistant NUCC Code: 225200000X (Physical Therapy Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 902 E LINCOLN RD, IDABEL, OK, 74745-7337 |
| Practice Telephone / Fax | Tel: (580) 286-2600 | Fax: (580) 286-1107 |
| Administrative Mailing Address | PO BOX 83, WRIGHT CITY, OK, 74766-0083 |
| Enumeration & Last Sync | Enumerated: 2021-10-26 | CMS Record Updated: 2021-10-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225200000X)
What Does Taxonomy Code 225200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225200000X translates to:
"Licensed & Credentialed Physical Therapy Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NATALIE NICOLE BECK, PTA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225200000X — Physical Therapy AssistantPlain English: Licensed & Credentialed Physical Therapy Assistant | State: OK | License: 1532 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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