Individual provider Active NPI

Shea Amrhein Beshara, OTR

  • Pediatric Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1104267467
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4037 Issued in AL
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

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180605002433 AL Practitioner - Occupational Therapist in Private Practice 9537424965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115551TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boost Kids LLC Pediatrics CurrentSince Nov 1, 2017 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.

Verify at the official NPI Registry.