Beaming Healthcare Group, P.C.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BEAMING HEALTHCARE GROUP, P.C.

Practice address

2021 Fillmore St # 1367
San Francisco, CA 94115-2708

Phone

(415) 236-2178

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Domenique Carol Hendershot Embrey, OTD, MS OTR/LNPI 1477617520

Title

Owner

Phone

(510) 701-5990

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Domenique Carol Hendershot Embrey, OTD M.S.O.T.R. L

  • Occupational Therapist
  • San Francisco, CA
  • NPI 1477617520
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1295516938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 HILLVIEW DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945362821",
            "telephone_number": "510-701-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 FILLMORE ST # 1367",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152708",
            "telephone_number": "415-236-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAMING HEALTHCARE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT EMBREY",
        "authorized_official_first_name": "DOMENIQUE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-701-5990",
        "authorized_official_credential": "OTD, MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bernard Beal
• Kellie Beals
• Caitlin F Beaman
• Craig R Beaman
• Jessica Beaman, M.D.
• Abigail Bean
• Ashley Larissa Bean
• Shannon Renee Bean
• Billie Anne Beard
• Sharon Beard

• Occupational Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.