Individual provider Active NPI

Beth Margaret Birmingham, OTR/L, CHT

  • Occupational Therapist
  • Decatur, GA
National Provider Identifier
1386812899
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT002737 Issued in GA
Practice address
575 Dekalb Industrial Way
Suite 103
Decatur, GA 30030-1756
Phone
(404) 296-8511
NPI assigned
Feb 19, 2008
Last updated
Feb 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT002737 GA Primary

Addresses

Primary practice location

575 Dekalb Industrial Way
Suite 103
Decatur, GA 30030-1756

Mailing address

4755 Riversound Dr
Snellville, GA 30039-8562
Phone (770) 310-6497

Other names 1

  • Ms. Lisabeth M. Birmingham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000093 GA Practitioner - Occupational Therapist in Private Practice 7416015292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

141 Sams St
Suite a
Decatur, GA 30030-4101
Phone (404) 296-8511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT002737GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Hand and Physical Therapy Specialists Limited Partnership Occupational Therapist CurrentSince Sep 12, 2010 Accepting new patients
Decatur Hand Therapy Specialists Limited Partnership Past Accepting new patients

Locations

141 Sams St
Ste A
Decatur, GA 30030
Phone (404) 296-8511

575 DeKalb Industrial Way
Ste 103
Decatur, GA 30030
Phone (404) 296-8511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1386812899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 RIVERSOUND DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398562",
            "telephone_number": "770-310-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY",
            "address_2": "SUITE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "BETH",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISABETH",
            "last_name": "BIRMINGHAM",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "OTR/L, CHT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.