Individual provider Active NPI

Beverly Wheeler, OT

  • Occupational Therapist
  • Laurel, MD
National Provider Identifier
1013522648
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09017 Issued in MD
Practice address
14235 Park Center Dr
Laurel, MD 20707-5261
Phone
(301) 498-8100
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 09017 MD Primary

Addresses

Primary practice location

14235 Park Center Dr
Laurel, MD 20707-5261

Mailing address

729 Rosewood Rd
Severn, MD 21144-2069
Phone (443) 846-7327

Other practice location 1

14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Phone (301) 498-8100

Other identifiers 1

IdentifierTypeStateIssuer
1013522648MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111001339 MD Practitioner - Occupational Therapist in Private Practice 6204327919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

10285 Little Patuxent Pkwy
Suite 400
Columbia, MD 21044-3489
Phone (410) 644-1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09017MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 2, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 2, 2025 Accepting new patients
Minds in Motion Children'S Center LLC PastSince Oct 4, 2020 Accepting new patients
Minds in Motion Children'S Center, LLC PastSince Sep 1, 2020 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Associated Professional Rehabilitation Services, Inc. Occupational Therapist Past Accepting new patients
Rehabilitation Services, Inc. Occupational Therapist Past Accepting new patients

Locations

910 Frederick Rd
Catonsville, MD 21228

10285 Little Patuxent Pkwy
Ste 400
Columbia, MD 21044

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1013522648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 ROSEWOOD RD",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442069",
            "telephone_number": "443-846-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14235 PARK CENTER DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075261",
            "telephone_number": "301-498-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14409 Greenview Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207084213",
            "country_code": "US",
            "telephone_number": "301-498-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "BEVERLY",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013522648",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.