Active NPI
Kathryn Louise Beach, OTR/L
- Occupational Therapist
- Merced, CA
National Provider Identifier
1164938742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT17661
- Practice address
- 2350 Lecco Way
Merced, CA 95340-9373 - Phone
- (661) 742-8776
- NPI assigned
- Dec 19, 2017
- Last updated
- Dec 19, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT17661 | CA | Primary |
Addresses
Primary practice location
2350 Lecco Way
Merced, CA 95340-9373
Mailing address
2350 Lecco Way
Merced, CA 95340-9373
Phone (661) 742-8776
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT17661 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1164938742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 LECCO WAY",
"city": "MERCED",
"state": "CA",
"postal_code": "953409373",
"telephone_number": "661-742-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 LECCO WAY",
"city": "MERCED",
"state": "CA",
"postal_code": "953409373",
"telephone_number": "661-742-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "KATHRYN",
"middle_name": "LOUISE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT17661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
- Misty Rose Bautista
- Bay Area Spine Care
- David Bayoh
- Bayrakdarian Merced, D.M.D., Inc., a Professional Dental Corporation (Unique Orthodontics Merced)
- Baz Allergy, Asthma & Sinus Center, Inc.
- Timothy Mark Beach, PSY. D.
- Bear Creek Anesthesia Medical Group
- Bear Creek Family Dental
- Evelyn Beardsley
- Naseem Neon Beauchman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.