Individual provider Active NPI

Nancy Bettencourt, OT/CHT

  • Hand Occupational Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1477582005
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT8561 Issued in FL
Practice address
1109 Duncan Cir
Apt 204
Palm Beach Gardens, FL 33418-6866
Phone
(561) 236-5163
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT8561 FL Primary

Addresses

Primary practice location

1109 Duncan Cir
Apt 204
Palm Beach Gardens, FL 33418-6866

Mailing address

1109 Duncan Cir
Apt 204
Palm Beach Gardens, FL 33418-6866
Phone (561) 236-5163

Other identifiers 1

IdentifierTypeStateIssuer
OT8561OtherFLSTATE LICENSE

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

LicenseStateTypeSpecialty
OT8561FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel Rehabilitation, Inc PastSince Feb 18, 2008 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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1477582005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 DUNCAN CIR",
            "address_2": "APT 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186866",
            "telephone_number": "561-236-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 DUNCAN CIR",
            "address_2": "APT 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186866",
            "telephone_number": "561-236-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENCOURT",
        "first_name": "NANCY",
        "credential": "OT/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT8561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT8561",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.