Individual provider Active NPI

Ann-Marie Beaulac, OT

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1144432451
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001962 Issued in CT
Practice address
8500 Bluffstone CV
Austin, TX 78759-7808
Phone
(774) 533-0226
NPI assigned
May 7, 2007
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001962 CT
Occupational Therapist 225X00000X 001962 CT Primary

Addresses

Primary practice location

8500 Bluffstone CV
Austin, TX 78759-7808

Mailing address

8500 Bluffstone CV BLDG a
Austin, TX 78759-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615001937 CT Practitioner - Occupational Therapist in Private Practice 4688053028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Farm Rd
New Canaan, CT 06840-6626
Phone (203) 594-5340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1962CTMDProfessional Counselor
001962CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Therapy Outpatient Services, LLC Occupational Therapist CurrentSince Nov 23, 2024 Accepting new patients
Preferred Therapy Outpatient Services, LLC Occupational Therapist CurrentSince Nov 23, 2024 Accepting new patients
Onr National Speech Pathology Inc CurrentSince Mar 8, 2022 Accepting new patients

Locations

201 Granite Rd
Guilford, CT 06437
Phone (203) 204-2991

3 Farm Rd
New Canaan, CT 06840
Phone (203) 594-5200

850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1144432451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BLUFFSTONE CV BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BLUFFSTONE CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597808",
            "telephone_number": "774-533-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULAC",
        "first_name": "ANN-MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "001962",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "001962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.