Provider Demographics
NPI:1558890137
Name:BEECHEY, JAMAL JAMES ROCCO (PT, OCS, CSCS, EP-C)
Entity type:Individual
Prefix:DR
First Name:JAMAL
Middle Name:JAMES ROCCO
Last Name:BEECHEY
Suffix:
Gender:M
Credentials:PT, OCS, CSCS, EP-C
Other - Prefix:
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Mailing Address - Street 1:710 COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4925
Mailing Address - Country:US
Mailing Address - Phone:651-968-5200
Mailing Address - Fax:
Practice Address - Street 1:501 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-8510
Practice Address - Country:US
Practice Address - Phone:970-625-6451
Practice Address - Fax:970-625-5700
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210889225100000X
MN12266225100000X
COPTL.00197592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist