Active NPI
Philip George Bean, OTR/L
- Occupational Therapist
- Plattsburgh, NY
National Provider Identifier
1437816204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026073
- Practice address
- 1585 Military Tpke
Plattsburgh, NY 12901-7457 - Phone
- (518) 561-0100
- NPI assigned
- Nov 29, 2021
- Sex
- Male
- 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 | 026073 | NY | Primary |
Addresses
Primary practice location
1585 Military Tpke
Plattsburgh, NY 12901-7457
Mailing address
32 Brunell Rd
Altona, NY 12910-2400
Phone (917) 771-5193
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 |
|---|---|---|---|
| 026073 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Valley Education Services | 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.
-
- Local Education Agency (LEA)
- Plattsburgh, NY
- NPI 1417254053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1437816204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 BRUNELL RD",
"city": "ALTONA",
"state": "NY",
"postal_code": "129102400",
"telephone_number": "917-771-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 MILITARY TPKE",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129017457",
"telephone_number": "518-561-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "PHILIP",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.