Individual provider Active NPI

Beverly E Gary, OTA

  • Occupational Therapy Assistant
  • Sarasota, FL
National Provider Identifier
1043887706
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
10983 Issued in FL
Practice address
2888 Ringling Blvd Unit CD
Sarasota, FL 34237-5331
Phone
(941) 413-5100
Fax
(941) 388-7292
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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 10983 FL Primary

Addresses

Primary practice location

2888 Ringling Blvd Unit CD
Sarasota, FL 34237-5331

Mailing address

1951 33Rd St
Sarasota, FL 34234-6115
Phone (941) 879-4408

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
10983FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Healthcare 168 LLC CurrentSince Jun 15, 2021 Accepting new patients
Pathway PT LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

2888 Ringling Blvd
Unit Cd
Sarasota, FL 34237
Phone (786) 270-6853

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21758/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1043887706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 33RD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342346115",
            "telephone_number": "941-879-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 RINGLING BLVD UNIT CD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375331",
            "telephone_number": "941-413-5100",
            "fax_number": "941-388-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "BEVERLY",
        "middle_name": "E",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "10983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.