Individual provider Active NPI

Julie Marie Bezold, OT

  • Occupational Therapist
  • Jackson, TN
National Provider Identifier
1194856971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3443 Issued in TN
Practice address
614 Carriage House Dr
Jackson, TN 38305-4238
Phone
(731) 668-4449
Fax
(731) 668-4405
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3443 TN Primary

Addresses

Primary practice location

614 Carriage House Dr
Jackson, TN 38305-4238

Mailing address

15 Jeffrey CT
Jackson, TN 38305-1726
Phone (731) 664-6654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219001248 FL Practitioner - Occupational Therapist in Private Practice 6204815061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Therapy Solutions LLCGroup PAC ID 0547749434, 15 clinicians
West Coast Therapy Specialist LLCGroup PAC ID 0648549618, 12 clinicians

Practice addresses (Care Compare)

4707 140TH Ave N
Suite 302
Clearwater, FL 33762-3840
Phone (727) 223-8978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3443TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Pediatric Services LLC Occupational Therapist CurrentSince Sep 20, 2022 Accepting new patients
West Coast Therapy Specialist LLC Occupational Therapist CurrentSince Sep 14, 2022 Accepting new patients
West Coast Therapy Solutions LLC CurrentSince Feb 1, 2026 Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Lift Therapy, Inc. Past Accepting new patients
Aquatherapies, LLC PastSince Jul 15, 2004 Accepting new patients

Locations

4707 140th Ave N
Ste 313
Clearwater, FL 33762
Phone (727) 223-8978

4707 140th Ave N
Ste 302
Clearwater, FL 33762
Phone (727) 223-8978

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194856971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JEFFREY CT",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051726",
            "telephone_number": "731-664-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 CARRIAGE HOUSE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054238",
            "telephone_number": "731-668-4449",
            "fax_number": "731-668-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZOLD",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.