Beasley Stephen Terry, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

207862 Issued in TX

Practice address

3505 Old Jacksonville Rd
Tyler, TX 75701-8510

Phone

(903) 561-7835

NPI assigned

Dec 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1255515656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 OLD JACKSONVILLE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018510",
            "telephone_number": "903-561-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 OLD JACKSONVILLE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018510",
            "telephone_number": "903-561-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "BEASLEY",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "207862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Tennison
• Leonel Teran, MD
• Monica Terpening, LCSW
• Gregory Scott Terrell, MD
• Jayson J Terres, DDS, MD, FACS, FAACS
• Erica Terry
• Janice Lynn Terry, LCSW
• Kelly L Terry, CRNA
• Samuel Terry, RN
• Vartiter Terzian-Green, LMT

• Occupational Therapy Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.