Individual provider Active NPI

Beth L Fisher, OTR/L

  • Occupational Therapist
  • Devon, PA
National Provider Identifier
1215534144
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC001997L Issued in PA
Practice address
890 Lancaster Ave
Devon, PA 19333-2360
Phone
(610) 225-2451
NPI assigned
Oct 5, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 OC001997L PA Primary

Addresses

Primary practice location

890 Lancaster Ave
Devon, PA 19333-2360

Mailing address

890 Lancaster Ave
Devon, PA 19333-2360
Phone (610) 225-2451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009000326 PA Practitioner - Occupational Therapist in Private Practice 9133549389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JMB Therapy Services LLCGroup PAC ID 8628243748, 28 clinicians

Practice addresses (Care Compare)

511 Old Lancaster Rd
Suite 12
Berwyn, PA 19312-1671
Phone (610) 225-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC001997LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JMB Therapy Services LLC Occupational Therapist CurrentSince Oct 5, 2020 Accepting new patients
JMB Therapy Services LLC Occupational Therapist CurrentSince Oct 5, 2020 Accepting new patients

Locations

511 Old Lancaster Rd
Ste 12
Berwyn, PA 19312
Phone (610) 225-2451

Organizations & group practices 2

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1215534144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193332360",
            "telephone_number": "610-225-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193332360",
            "telephone_number": "610-225-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BETH",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC001997L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.