Samantha Beverley, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

4501 Hill Rd
Highland, IL 62249-3519

Phone

(618) 830-6562

NPI assigned

Sep 30, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Early Intervention Services, Inc.

  • Early Intervention Provider Agency
  • Highland, IL
  • NPI 1992244602
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1386462299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 2ND AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081704",
            "telephone_number": "815-708-5829",
            "fax_number": "618-503-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 HILL RD",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493519",
            "telephone_number": "618-830-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611081704",
            "country_code": "US",
            "telephone_number": "815-708-5829",
            "fax_number": "618-503-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLEY",
        "first_name": "SAMANTHA",
        "credential": "DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Barrows
• Kayla Bauer, ATC
• Adam Beck
• Britney Bell
• Best Foot Forward Corp
• Lynn D Billhartz, PA
• Jill Marie Bloemker
• Larry L Boehler, PH.D
• Danielle L. Bogue, FNP-BC
• Bonnie Senner MSW LTD

• All providers in Highland, IL
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.