Active NPI
Elizabeth M Beane, OT
- Occupational Therapist
- Surprise, AZ
National Provider Identifier
1053545491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 007066
- Practice address
- 18343 W Saguaro LN
Surprise, AZ 85388-2369 - Phone
- (206) 718-9671
- NPI assigned
- May 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00001835 | WA | |
| Occupational Therapist | 225X00000X | 007066 | AZ | Primary |
Addresses
Primary practice location
18343 W Saguaro LN
Surprise, AZ 85388-2369
Mailing address
18343 W Saguaro LN
Surprise, AZ 85388-2369
Phone (206) 718-9671
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 |
|---|---|---|---|
| 007066 | AZ | MD | Internal Medicine Physician |
| OT00001835 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1053545491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18343 W SAGUARO LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853882369",
"telephone_number": "206-718-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18343 W SAGUARO LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853882369",
"telephone_number": "206-718-9671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEANE",
"first_name": "ELIZABETH",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001835",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "007066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.