Individual provider Active NPI

Brian Jason Betha, COTA/L

  • Occupational Therapy Assistant
  • Beaver Falls, PA
National Provider Identifier
1043083793
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP008865 Issued in PA
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

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
OP008865PAMDOccupational 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

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.

Verify at the official NPI Registry.