Active NPI
Brian Jason Betha, COTA/L
- Occupational Therapy Assistant
- Beaver Falls, PA
National Provider Identifier
1043083793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP008865
- Practice address
- 900 3Rd Ave
Beaver Falls, PA 15010-4613 - Phone
- (724) 846-8504
- NPI assigned
- Nov 3, 2023
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | OP008865 | PA | Primary |
Addresses
Primary practice location
900 3Rd Ave
Beaver Falls, PA 15010-4613
Mailing address
114 Knollwood Dr
Industry, PA 15052-2112
Phone (724) 513-3408
Other names 1
- Brian Jason Betha
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP008865 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1043083793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 KNOLLWOOD DR",
"city": "INDUSTRY",
"state": "PA",
"postal_code": "150522112",
"telephone_number": "724-513-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 3RD AVE",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150104613",
"telephone_number": "724-846-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHA",
"first_name": "BRIAN",
"middle_name": "JASON",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP008865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIAN",
"last_name": "BETHA",
"middle_name": "JASON",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beaver Falls, PA
- Beaver County MH Mr Drug & Alcohol Program
- Beaver Falls Center for Nursing and Rehab, LLC
- Beaver Valley Rehabilitation and Healthcare Center LLC
- Gina Belvedere, CRNP
- Marissa Renee Bennett, PA-C
- Shreykumar Bhatt, MD
- Danielle Marie Bianco, O.D.
- Big Beaver Falls Area School District
- Laura Bingham
- Peter Samuel Birchler, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.