Braelyn Hathaway Beal, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

16986 Issued in NC

Practice address

3905 University Dr
Durham, NC 27707-2517

Phone

(919) 928-0204

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emerge-a Child's Place, PLLC

  dba Emerge Pediatric Therapy

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1730229188

  Pediatrics

  NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1386246627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 LARCHMONT RD APT 236",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075972",
            "telephone_number": "864-569-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-928-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Blanding St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012906",
            "country_code": "US",
            "telephone_number": "864-569-5695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAL",
        "first_name": "BRAELYN",
        "middle_name": "HATHAWAY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "16986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Beach, AGPCNP-BC
• Beacon Bridge LLC
• Beacon Therapeutic and Wellness Services
• Christopher Alan Beadles, MD
• Marin Caroline Beagley
• Nancy Karageorge Beal, DNP, CRNA
• Eleanor Beale, PHD
• Katrina Shaney Beamon, LCSW
• Allison Rae Bean, NP
• Christopher Andrew Bean, NP

• Pediatric Occupational Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.