Beacon Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BEACON THERAPY LLC

Practice address

2022 E Mulberry Dr
Phoenix, AZ 85016-7218

Phone

(904) 738-9757

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Diane Schantz, COTA

Title

Director

Phone

(904) 738-9757

Specialties & licenses 1

Addresses

Practitioners 1

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

• Diane Khalsa, COTA/L

  • Occupational Therapy Assistant
  • Phoenix, AZ
  • NPI 1801306212
  NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1356897359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 E MULBERRY DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167218",
            "telephone_number": "904-738-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 E MULBERRY DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167218",
            "telephone_number": "904-738-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "SCHANTZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-738-9757",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna N. Beach, PT
• Beachside Clinic
• Beacon Biomedical Inc.
• Beacon Group, Inc.
• Beacon Group, Inc.
• Kaitlin M Beadles, PA
• Emma Beale
• Robert Beale, PHARM D
• Kallen Joy Beall, DO
• Anne Beals

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.