Active NPI
Jennifer Elizabeth Beasley, OTR/L
- Occupational Therapist
- Austin, TX
National Provider Identifier
1417204744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 116317
- Practice address
- 9411 N Lamar Blvd
Austin, TX 78753-4178 - Phone
- (512) 744-6000
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 116317 | TX | Primary |
Addresses
Primary practice location
9411 N Lamar Blvd
Austin, TX 78753-4178
Mailing address
12101 Dessau Rd Apt 2103
Austin, TX 78754-2110
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 |
|---|---|---|---|
| 116317 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1417204744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 DESSAU RD APT 2103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787542110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534178",
"telephone_number": "512-744-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.