Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Medical Group, Inc

Organization Physical Therapist · NPI 1053864868

Beacon Medical Group, Inc is a Physical Therapist in Granger, Indiana. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3221 Beacon Pkwy Ste B
Granger, IN 46530
Phone: (574) 647-1700
Fax: (574) 291-3351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1053864868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Physical Therapy
NPI enumeratedJuly 28, 2016
Last updated in NPPESJuly 28, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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