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

Domonique Shantae Beckham, PT, DPT

Individual provider Physical Therapist · NPI 1780152272

Domonique Shantae Beckham, PT, DPT is a Physical Therapist in Private Practice in Boerne, Texas. Qualified in 2018, 8 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Kansas and Texas.

Years since qualifying
8
Licensed in
GA, KS, TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

138 Old San Antonio Rd Ste 304
Boerne, TX 78006-3491
Phone: (210) 419-3144
Fax: (210) 764-5098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3627 Se 29th St Ste 107, Topeka, KS 66605-2013 — (785) 266-4600

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1359208 (TX)
Physical Therapist Taxonomy 225100000X · Licence 11-07109 (KS)
Physical Therapist Taxonomy 225100000X · Licence PT013764 (GA)

Record details

NPI number1780152272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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