Active NPI
Beth Gardner Nicholson, OTR, CHT
- Hand Occupational Therapist
- Vestavia, AL
National Provider Identifier
1194809608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 0133
- Practice address
- 3234 Cahaba Heights Rd
Vestavia, AL 35243-1614 - Phone
- (205) 383-8579
- Fax
- (205) 298-9103
- NPI assigned
- Oct 24, 2006
- Last updated
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 0133 | AL | Primary |
Addresses
Primary practice location
3234 Cahaba Heights Rd
Vestavia, AL 35243-1614
Mailing address
3269 Brook Highland Trce
Birmingham, AL 35242-5814
Phone (205) 981-7167
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51510089 | Other | AL | BLUE CROSS DME PROV # |
| 51005522 | Other | AL | BLUE CROSS |
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 |
|---|---|---|---|
| 0133 | AL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Physical Therapy & Sports Medicine Inc | Past | Accepting new patients | |
| Impact Rehabilitation and Sports Medicine, Inc. | Past | Accepting new patients | |
| Beth G. Nicholson | Hand | Past | Accepting new patients |
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.
-
- Physical Therapist
- Birmingham, AL
- NPI 1154426260
-
- Orthopedic Physical Therapist
- Calera, AL
- NPI 1497861926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1194809608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3269 BROOK HIGHLAND TRCE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425814",
"telephone_number": "205-981-7167",
"fax_number": "205-298-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3234 CAHABA HEIGHTS RD",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352431614",
"telephone_number": "205-383-8579",
"fax_number": "205-298-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "BETH",
"middle_name": "GARDNER",
"name_prefix": "Ms.",
"credential": "OTR, CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AL",
"license": "0133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS DME PROV #",
"identifier": "51510089",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51005522",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.