Individual provider Active NPI

Beverly Doris Quinn, OTR/L

  • Occupational Therapist
  • West Chester, PA
National Provider Identifier
1396065017
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC004542L Issued in PA
Practice address
1704 Clock Tower Dr
West Chester, PA 19380-6474
Phone
(610) 738-9549
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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 OC004542L PA Primary

Addresses

Primary practice location

1704 Clock Tower Dr
West Chester, PA 19380-6474

Mailing address

1704 Clock Tower Dr
West Chester, PA 19380-6474
Phone (610) 738-9549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731001856 PA Practitioner - Occupational Therapist in Private Practice 4981065430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC004542LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Therapy and Rehabilitation Services of Pennsylvania P C Occupational Therapist CurrentSince May 24, 2023 Accepting new patients

Locations

1445 City Ave
Ste 1-2
Wynnewood, PA 19096
Phone (610) 642-4029

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1396065017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 CLOCK TOWER DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806474",
            "telephone_number": "610-738-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 CLOCK TOWER DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806474",
            "telephone_number": "610-738-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "BEVERLY",
        "middle_name": "DORIS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004542L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.