Bethany Marvel

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT017173 Issued in OH

Practice address

41063 Morgan Ave
Pennington Gap, VA 24277-1831

Phone

(888) 855-2674

NPI assigned

Sep 13, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Imago Rehab, Inc

  • Neurorehabilitation Occupational Therapist
  • Lowell, MA
  • NPI 1205407236
  NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1033945159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CANAL ST 3RD FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524589",
            "telephone_number": "888-552-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41063 MORGAN AVE",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242771831",
            "telephone_number": "888-855-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT017173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Light
• Litton Family Medicine PC
• John Scott Litton Jr., M.D.
• Shahram Malik, MD
• Jeffery Martin
• Sarah Ann May, BS QMHP
• Gregory Shane Meade, BS PSYCHOLOGY MA COU
• Medical Imaging P.C.
• Stanislav T Merka, MD
• Patrick A Molony, M.D.

• Occupational Therapist in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.