Jimmie Michelle Beasley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006335 Issued in GA

Practice address

2450 Atlanta Hwy Ste 1001
Cumming, GA 30040-1252

Phone

(404) 834-8404

Fax

(678) 807-5733

NPI assigned

Feb 29, 2016

Sex

Female

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

Practice roles

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.

• Kids Creek Therapy

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1700983772

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265892640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "STE1001",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300411224",
            "telephone_number": "404-834-8404",
            "fax_number": "678-807-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 1001",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401252",
            "telephone_number": "404-834-8404",
            "fax_number": "678-807-5733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 Johns Creek Ct",
            "address_2": "Ste 250",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241224",
            "country_code": "US",
            "telephone_number": "770-888-5221",
            "fax_number": "678-680-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "JIMMIE",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Beard, CAC II, CCS
• Ravin Cato Beard, BCBA
• Bearden Pediatric Therapy, Inc.
• Alivia Conti Bearden, MS, OTR/L
• Allison Heather Bearden, LPC
• Stacey K Beasley, PHARMD
• Heidi Beck, PT, DPT
• Lauren T Beck, RBT
• Sara M Beck, PA-C
• Mekedim Million Bekele, MD

• Occupational Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.