Individual provider Active NPI

Beth Eileen Fischer, OTR

  • Occupational Therapist
  • Junction City, KS
National Provider Identifier
1053520395
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-00501 Issued in KS
Practice address
1102 Saint Marys Rd
Junction City, KS 66441
Phone
(785) 762-3350
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-00501 KS Primary

Addresses

Primary practice location

1102 Saint Marys Rd
Junction City, KS 66441

Mailing address

2812 W 12TH Ave
Emporia, KS 66801-6202
Phone (620) 208-7878

Other practice location 1

4101 Caitlin Dr
Manhattan, KS 66502-8842
Phone (785) 539-0663

Other practice location 2

4101 Caitlin Dr
Manhattan, KS 66502-8842
Phone (785) 539-0663

Other identifiers 1

IdentifierTypeStateIssuer
0000120103OtherKSBC BS PROVIDER NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-00501KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B.C. Services, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1053520395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016202",
            "telephone_number": "620-208-7878",
            "fax_number": "620-208-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SAINT MARYS RD",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "66441",
            "telephone_number": "785-762-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Caitlin Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665028842",
            "country_code": "US",
            "telephone_number": "785-539-0663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 Caitlin Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665028842",
            "country_code": "US",
            "telephone_number": "785-539-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BETH",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-00501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "0000120103",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.