Active NPI
Jeanne Marie Beyer, OTR
- Pediatric Occupational Therapist
- Maitland, FL
National Provider Identifier
1386869766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 11863
- Practice address
- 331 N Maitland Ave Ste A3
Maitland, FL 32751-4749 - Phone
- (407) 499-2236
- Fax
- (407) 264-8828
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 11863 | FL | Primary |
Addresses
Primary practice location
331 N Maitland Ave Ste A3
Maitland, FL 32751-4749
Mailing address
1850 Lee Rd
Suite 134
Winter Park, FL 32789-2104
Phone (407) 792-9799
Other practice location 1
1850 Lee Rd
Suite 134
Winter Park, FL 32789-2104
Phone (407) 792-9799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890414601 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | psb@mdofficemail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 11863 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Skill Builders | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Winter Park, FL
- NPI 1801062336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1386869766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 LEE RD",
"address_2": "SUITE 134",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892104",
"telephone_number": "407-792-9799",
"fax_number": "407-264-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 N MAITLAND AVE STE A3",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514749",
"telephone_number": "407-499-2236",
"fax_number": "407-264-8828"
}
],
"practiceLocations": [
{
"address_1": "1850 Lee Rd",
"address_2": "Suite 134",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327892104",
"country_code": "US",
"telephone_number": "407-792-9799",
"fax_number": "407-264-8828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEYER",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 11863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890414601",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "psb@mdofficemail.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "331 N Maitland Ave Ste A3",
"city": "Maitland",
"state": "FL",
"country_code": "US",
"postal_code": "327514749",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.