Active NPI
Yvonne Sandra Beuerman, MS OTR/L
- Occupational Therapist
- Lake George, NY
National Provider Identifier
1225307218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013179-1
- Practice address
- 69 Sun Valley Drive
Lake George, NY 12845-3900 - Phone
- (518) 644-2400
- NPI assigned
- Dec 20, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013179-1 | NY | Primary |
Addresses
Primary practice location
69 Sun Valley Drive
Lake George, NY 12845-3900
Mailing address
18 Carillon Rd
Ticonderoga, NY 12883-1502
Phone (518) 832-8265
Other practice location 1
26 Horicon Ave
Bolton Landing, NY 12814-7744
Phone (518) 644-2400
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013179-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolton Central School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Bolton Landing, NY
- NPI 1891834875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1225307218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CARILLON RD",
"city": "TICONDEROGA",
"state": "NY",
"postal_code": "128831502",
"telephone_number": "518-832-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 SUN VALLEY DRIVE",
"city": "LAKE GEORGE",
"state": "NY",
"postal_code": "128453900",
"telephone_number": "518-644-2400"
}
],
"practiceLocations": [
{
"address_1": "26 Horicon Ave",
"address_purpose": "LOCATION",
"city": "Bolton Landing",
"state": "NY",
"postal_code": "128147744",
"country_code": "US",
"telephone_number": "518-644-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEUERMAN",
"first_name": "YVONNE",
"middle_name": "SANDRA",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013179-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake George, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.