Active NPI
Beverly Ebinger, OCCUP THERAPIST
- Occupational Therapist
- Fredericksburg, VA
National Provider Identifier
1437244035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004263
- Practice address
- 600 Jackson St
Fredericksburg, VA 22401 - Phone
- (540) 373-3223
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 9, 2007
- 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 | 0119004263 | VA | Primary |
Addresses
Primary practice location
600 Jackson St
Fredericksburg, VA 22401
Mailing address
210 N Stafford Ave
# 28
Richmond, VA 23220
Phone (801) 355-0359
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192576 | Other | VA | ANTHEM HEALTHKEEP PLUS |
| 4978145 | Medicaid | VA |
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 |
|---|---|---|---|
| 0119004263 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437244035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N STAFFORD AVE",
"address_2": "# 28",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23220",
"telephone_number": "801-355-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JACKSON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22401",
"telephone_number": "540-373-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBINGER",
"first_name": "BEVERLY",
"credential": "OCCUP THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEP PLUS",
"identifier": "192576",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4978145",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Richard Earnhardt, M.D.
- Athalia Eason, LPC
- Eastern Cranial Affiliates, LLC (Infinite Technologies Orthotics and Prosthetics)
- Deborah A Eastland, LPN
- Rebekah Eaton
- Sallie Mae Echols, LICSW
- Jill R Eckenberger, MD
- Ed Murphy & Associates (Fair Winds)
- Brian Jordon Edgeworth, DPT
- Rachel Hughes Edmunds, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.