Active NPI
Kristin Alyce Beveridge, OTR/L
- Physical Rehabilitation Occupational Therapist
- Lakewood, CO
National Provider Identifier
1225513641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 0001580
- Practice address
- 8405 W Alameda Ave
Lakewood, CO 80226-2908 - Phone
- (720) 974-4925
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 0001580 | CO | Primary |
Addresses
Primary practice location
8405 W Alameda Ave
Lakewood, CO 80226-2908
Mailing address
8405 W Alameda Ave
Lakewood, CO 80226-2908
Phone (720) 974-4925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001580 | Other | CO | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001580 | CO | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1225513641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 W ALAMEDA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802262908",
"telephone_number": "720-974-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 W ALAMEDA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802262908",
"telephone_number": "720-974-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERIDGE",
"first_name": "KRISTIN",
"middle_name": "ALYCE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CO",
"license": "0001580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0001580",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.