Abigail Beaty, COTA

Individual provider Active NPI Occupational Therapy Assistant · Overland Park, KS

NPI 1306467568 · NPPES record last updated Apr 29, 2020

Key facts

NPI
1306467568
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
18-01529 (KS)
Practice address
6104 Foster St Apt 106
Overland Park, KS 66202-3123
Phone
(913) 286-0557
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18-01529KSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-01529 KS Yes

Addresses

Primary practice location

6104 Foster St Apt 106
Overland Park, KS 66202-3123

Mailing address

6104 Foster St Apt 106
Overland Park, KS 66202-3123
Phone (913) 286-0557

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL pingid

Other providers in Overland Park, KS

All providers in Overland Park, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.