Organization Active NPI

Bethany O Macdonald LLC

  • Pediatric Occupational Therapist
  • Land O Lakes, FL
National Provider Identifier
1497340715
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
BETHANY O MACDONALD LLC
Practice address
21535 Southern Charm Dr
Land O Lakes, FL 34637-7629
Phone
(813) 375-1591
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Bethany O Macdonald, OTR/L
Title
Owner
Phone
(813) 375-1591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0019X
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

21535 Southern Charm Dr
Land O Lakes, FL 34637-7629

Mailing address

21535 Southern Charm Dr
Land O Lakes, FL 34637-7629
Phone (813) 375-1591

Other names 1

  • BETHANY O MACDONALD LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1497340715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21535 SOUTHERN CHARM DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377629",
            "telephone_number": "813-375-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21535 SOUTHERN CHARM DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377629",
            "telephone_number": "813-375-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY O MACDONALD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-375-1591",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHANY O MACDONALD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.