Bethany Liscovitz, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9521 Issued in NC

Practice address

3905 University Dr
Durham, NC 27707-2517

Phone

(919) 928-0204

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emerge-a Child'S Place, PLLC

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1730229188

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1134526924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-928-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-928-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Nc 55 Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275198427",
            "country_code": "US",
            "telephone_number": "919-338-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISCOVITZ",
        "first_name": "BETHANY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2021-10-02",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Holt Lipscomb, NP
• Christine Lipske, APRN
• Lisa Pettiford
• Lisa Pettiford
• Ashley Taylor Lengel Lisbeth, PA-C
• Stacey Lisi, PHARMD
• Jason Aaron Liss, M.D.
• Ellis Knox List, D.D.S.
• Melissa Batenic List, M.S., PA-C
• Margaret Anne Liston, LCSWA

• Occupational Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.