Active NPI
Beverly D Jonas, MHS, OTR/L
- Occupational Therapist
- Horseheads, NY
National Provider Identifier
1427353366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005142-1
- Practice address
- 1 Raider LN
Special Education Dept.
Horseheads, NY 14845-2344 - Phone
- (607) 739-5601
- NPI assigned
- Jan 25, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005142-1 | NY | Primary |
Addresses
Primary practice location
1 Raider LN
Special Education Dept.
Horseheads, NY 14845-2344
Mailing address
8455 County Route 125
GST Boces Itinerant and Related Services
Campbell, NY 14821-9518
Phone (607) 776-6788
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 |
|---|---|---|---|
| 005142-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1427353366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8455 COUNTY ROUTE 125",
"address_2": "GST BOCES ITINERANT AND RELATED SERVICES",
"city": "CAMPBELL",
"state": "NY",
"postal_code": "148219518",
"telephone_number": "607-776-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RAIDER LN",
"address_2": "SPECIAL EDUCATION DEPT.",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148452344",
"telephone_number": "607-739-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAS",
"first_name": "BEVERLY",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "MHS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005142-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horseheads, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.