Active NPI
Christopher William Beatty, OTR
- Specialist
- Berkeley, CA
National Provider Identifier
1114204252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT 12019
- Practice address
- 1817 Rose St
Berkeley, CA 94703-1117 - Phone
- (411) 960-2723
- NPI assigned
- Nov 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT 12019 | CA | Primary |
Addresses
Primary practice location
1817 Rose St
Berkeley, CA 94703-1117
Mailing address
1817 Rose St
Berkeley, CA 94703-1117
Phone (411) 960-2723
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 |
|---|---|---|---|
| OT 12019 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1114204252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 ROSE ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031117",
"telephone_number": "411-960-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 ROSE ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031117",
"telephone_number": "411-960-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "OT 12019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.