Paula Kaye Beck, OTR

Individual provider Active NPI Occupational Therapist · Sikeston, MO

NPI 1508066978 · NPPES record last updated Sep 21, 2015

Key facts

NPI
1508066978
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
002567 (MO)
Practice address
2016 Oklahoma Ave
Sikeston, MO 63801
Phone
(573) 931-1766
Fax
(877) 706-6877
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002567 MO Yes

Addresses

Primary practice location

2016 Oklahoma Ave
Sikeston, MO 63801

Mailing address

2016 Oklahoma Ave
Sikeston, MO 63801
Phone (573) 472-1575

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2015.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1508066978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 OKLAHOMA AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-472-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 OKLAHOMA AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-931-1766",
            "fax_number": "877-706-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "PAULA",
        "middle_name": "KAYE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "002567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

All providers in Sikeston, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.