Amanda Prester Beacham, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

5661 Issued in SC

Practice address

45 Sycamore Ave Apt 917
Charleston, SC 29407-6729

Phone

(843) 900-6202

Fax

(843) 574-8858

NPI assigned

Oct 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Movement Specialists LLCGroup PAC ID 9133547425, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coastal Movement Specialists LLC

  • Physical Therapy Clinic/Center
  • Johns Island, SC
  • NPI 1780293837
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1013558568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575D MAYBANK HWY # 235",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554823",
            "telephone_number": "843-900-6202",
            "fax_number": "843-574-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE AVE APT 917",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076729",
            "telephone_number": "843-900-6202",
            "fax_number": "843-574-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHAM",
        "first_name": "AMANDA",
        "middle_name": "PRESTER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "SC",
            "license": "5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Stewart Bazemore, ED.S.
• Renee B Bazzelle, RN
• Be Resilient Physical Therapy and Wellness LLC
• Alexander Beach
• Jacie Lyn Beach, PA-C
• Charles Beacom
• Anthony C Beall, MD
• Jennifer Beall, NP
• Robert Joseph Beall, D.M.D
• Gabrielle Rose Beam, MD

• Gerontology Occupational Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Gerontology Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.