Shea Siree Beam, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 10256 Issued in FL

Practice address

6551 Greenbrier Dr
Seminole, FL 33777-4534

Phone

(727) 642-9983

Fax

(727) 394-9805

NPI assigned

Sep 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shea Siree Duncan Former name

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1295044105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 GREENBRIER DR",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774534",
            "telephone_number": "727-642-9983",
            "fax_number": "727-394-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 GREENBRIER DR",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774534",
            "telephone_number": "727-642-9983",
            "fax_number": "727-394-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "SHEA",
        "middle_name": "SIREE",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 10256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEA",
            "last_name": "DUNCAN",
            "middle_name": "SIREE",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Marina Bassily, DMD
• Baylife Physical Therapy & Rehabilitation, Inc.
• Harvey Bayliss, BCBA
• Bayside Endodontics
• Bayside Endodontics
• Bear Essentials Massage & Wellness
• Hanan Izzat Beck, DMD
• Matthew Anthony Bedosky, DNP, APRN, FNP-BC
• Beehive ABA Spectrum Services
• Katrina R Begazo, APRN

• All providers in Seminole, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.