NPIMap

Organization Active NPI

Beacon Pediatric Therapy Services LLC

  • Pediatric Occupational Therapist
  • Forked River, NJ
National Provider Identifier
1043952146
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
BEACON PEDIATRIC THERAPY SERVICES LLC
Practice address
2 Hollywood Blvd N Ste 8
Forked River, NJ 08731-4842
Phone
(609) 200-1118
Fax
(866) 368-4449
NPI assigned
Apr 9, 2022
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Sara Wilbert, OTRNPI 1730407958
Title
Occupational Therapist/Owner
Phone
(732) 580-0719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2 Hollywood Blvd N Ste 8
Forked River, NJ 08731-4842

Mailing address

504 Center St
Forked River, NJ 08731-2338
Phone (732) 580-0719

National Provider Directory

National Provider Directory

Locations

2 Hollywood Blvd N
Ste 8
Forked River, NJ 08731
Phone (609) 200-1118

52 Hyers St
Unit A3
Toms River, NJ 08753
Phone (609) 200-1118

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1043952146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CENTER ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312338",
            "telephone_number": "732-580-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOLLYWOOD BLVD N STE 8",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314842",
            "telephone_number": "609-200-1118",
            "fax_number": "866-368-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PEDIATRIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "WILBERT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "732-580-0719",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.