Active NPI
Bethany Celeste Halliwell, OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1033787460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025732
- Practice address
- 3117 Broadway Apt 49
New York, NY 10027-4658 - Phone
- (610) 507-8649
- NPI assigned
- Jun 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025732 | NY | Primary |
Addresses
Primary practice location
3117 Broadway Apt 49
New York, NY 10027-4658
Mailing address
3117 Broadway Apt 49
New York, NY 10027-4658
Phone (610) 507-8649
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623542400000",
"number": "1033787460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 BROADWAY APT 49",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274658",
"telephone_number": "610-507-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 BROADWAY APT 49",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274658",
"telephone_number": "610-507-8649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIWELL",
"first_name": "BETHANY",
"middle_name": "CELESTE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-13",
"last_updated": "2021-06-13",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.