Beth Ann Gist, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109053 Issued in TX

Practice address

1349 Empire Central Dr Ste 516
Dallas, TX 75247-4066

Phone

(469) 291-8500

Fax

(214) 265-0420

NPI assigned

Aug 25, 2006

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

Other identifiers 1

Other names 1

• Elizbeth Gist Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1174631618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PARK PLACE LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765042188",
            "telephone_number": "254-913-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 EMPIRE CENTRAL DR STE 516",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474066",
            "telephone_number": "469-291-8500",
            "fax_number": "214-265-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3816 S Clear Creek Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765494400",
            "country_code": "US",
            "telephone_number": "254-699-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIST",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8T6191",
            "identifier": "BCBS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZBETH",
            "last_name": "GIST",
            "credential": "BETH CRABB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saket Girotra, MD
• Girouard Capital Investment, Inc.
• Annie Girson, DDS
• Lillian Gisiora
• Adolphus V Gist, MD
• Stephen Elliott Gist, M.D.
• Hilda Wanjiku Gitau, LVN
• Sally Githaiga
• Leonard Githige
• Rebecca Gitzen

• Occupational Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapist in Texas

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