Bethany Copeland, OTD

Individual provider Active NPI Occupational Therapist · Livingston, TN

NPI 1003539909 · NPPES record last updated Sep 26, 2022

Key facts

NPI
1003539909
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
7347 (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
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7347TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatric Therapies, LLC Occupational Therapist Current
since 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

Specialties & licenses

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

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

Other providers in Livingston, TN

All providers in Livingston, TN · Occupational Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.