Active NPI
Shea Amrhein Beshara, OTR
- Pediatric Occupational Therapist
- Birmingham, AL
National Provider Identifier
1104267467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4037
- Practice address
- 1623 2ND Ave N Ste F
Birmingham, AL 35203-1918 - Phone
- (225) 241-4435
- NPI assigned
- Jul 15, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 115551 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 4037 | AL | Primary |
Addresses
Primary practice location
1623 2ND Ave N Ste F
Birmingham, AL 35203-1918
Mailing address
1623 2ND Ave N Ste F
Birmingham, AL 35203-1918
Phone (225) 241-4435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115551 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boost Kids LLC | Pediatrics | Current | Accepting new patients |
Locations
1623 2nd Ave N
Ste F
Birmingham, AL 35203
Phone (205) 767-9207
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": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1104267467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 2ND AVE N STE F",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352031918",
"telephone_number": "225-241-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 2ND AVE N STE F",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352031918",
"telephone_number": "225-241-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESHARA",
"first_name": "SHEA",
"middle_name": "AMRHEIN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "115551",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AL",
"license": "4037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.