Active NPI
Rosalito Gutierrez Beltran
- Occupational Therapist
- Seneca, SC
National Provider Identifier
1053977835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 980
- Practice address
- 140 Tokeena Rd
Seneca, SC 29678-1744 - Phone
- (864) 882-1642
- Fax
- (864) 888-1411
- NPI assigned
- May 16, 2019
- Sex
- Male
- Sole proprietor
- No
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Simpsonville, SC
- NPI 1114570264
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
| License | State | Type | Specialty |
|---|---|---|---|
| 980 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Therapy Services | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 980 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
140 Tokeena Rd
Seneca, SC 29678-1744
Mailing address
128 Lakeshore LN
Seneca, SC 29678-5320
Phone (864) 247-7903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2019.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1053977835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 LAKESHORE LN",
"city": "SENECA",
"state": "SC",
"postal_code": "296785320",
"telephone_number": "864-247-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 TOKEENA RD",
"city": "SENECA",
"state": "SC",
"postal_code": "296781744",
"telephone_number": "864-882-1642",
"fax_number": "864-888-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "ROSALITO",
"middle_name": "GUTIERREZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.