Individual provider Active NPI

Bethany Aiken, OT

  • Occupational Therapist
  • Oxford, MS
National Provider Identifier
1053868299
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3186 Issued in MS
Practice address
169 Highway 6 E
Suite 102
Oxford, MS 38655-9415
Phone
(662) 380-5030
Fax
(662) 380-5620
NPI assigned
Sep 6, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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 OT3186 MS Primary

Addresses

Primary practice location

169 Highway 6 E
Suite 102
Oxford, MS 38655-9415

Mailing address

124 Oxmoor RDG
Oxford, MS 38655-6033
Phone (919) 619-4369

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

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1053868299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OXMOOR RDG",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556033",
            "telephone_number": "919-619-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HIGHWAY 6 E",
            "address_2": "SUITE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559415",
            "telephone_number": "662-380-5030",
            "fax_number": "662-380-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIKEN",
        "first_name": "BETHANY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.