Individual provider Active NPI

Bethany Copeland, OTD

  • Occupational Therapist
  • Livingston, TN
National Provider Identifier
1003539909
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7347 Issued in TN
Practice address
306 W Broad St Ste B
Livingston, TN 38570-1804
Phone
(931) 823-6136
Fax
(931) 823-6138
NPI assigned
Sep 26, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7347 TN Primary

Addresses

Primary practice location

306 W Broad St Ste B
Livingston, TN 38570-1804

Mailing address

306 W Broad St Ste B
Livingston, TN 38570-1804
Phone (931) 823-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7347TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatric Therapies, LLC Occupational Therapist CurrentSince Oct 2, 2022 Accepting new patients

Locations

306 W Broad St
Ste B
Livingston, TN 38570
Phone (931) 823-6136

502 W Main St
Livingston, TN 38570
Phone (931) 823-4045

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1003539909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W BROAD ST STE B",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701804",
            "telephone_number": "931-823-6136",
            "fax_number": "931-823-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W BROAD ST STE B",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701804",
            "telephone_number": "931-823-6136",
            "fax_number": "931-823-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "BETHANY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.