Active NPI
Bevin Corr
- Occupational Therapist
- Weymouth, MA
National Provider Identifier
1043722879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11926
- Practice address
- 163 Libbey Industrial Pkwy Ste 302
Weymouth, MA 02189-3137 - Phone
- (781) 335-6663
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- 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 Therapist | 225X00000X | 11926 | MA | Primary |
Addresses
Primary practice location
163 Libbey Industrial Pkwy Ste 302
Weymouth, MA 02189-3137
Mailing address
163 Libbey Industrial Pkwy Ste 302
Weymouth, MA 02189-3137
Phone (781) 335-6663
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 |
|---|---|---|---|
| 11926 | MA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Therapies | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Weymouth, MA
- NPI 1902972664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1043722879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 LIBBEY INDUSTRIAL PKWY STE 302",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893137",
"telephone_number": "781-335-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 LIBBEY INDUSTRIAL PKWY STE 302",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893137",
"telephone_number": "781-335-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORR",
"first_name": "BEVIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.