Beverly Waldeisen, OTR/C

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

181 Issued in MT

Practice address

601 Robin LN
Livingston, MT 59047-3810

Phone

(406) 222-7231

Fax

(406) 222-2435

NPI assigned

Dec 20, 2006

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dandelion Counseling, LLC

  • Clinical Social Worker
  • Bozeman, MT
  • NPI 1336709476
  NPD (past)
• Health in Motion Physical Therapy Inc

  • Physical Therapist
  • Bozeman, MT
  • NPI 1710916614
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1508920810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S 13TH ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473727",
            "telephone_number": "406-222-3541",
            "fax_number": "406-823-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROBIN LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473810",
            "telephone_number": "406-222-7231",
            "fax_number": "406-222-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEISEN",
        "first_name": "BEVERLY",
        "credential": "OTR/C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Van Zee, CCC-SLP
• Lisa Calkins Vanderpan, M.S., SLP-CCC
• William J. Venable, D.D.S.
• Antonette Vincent, LMT
• Douglas P Wadle, MD
• Jeannette Wagner Waldron, MD
• Joanna Vaughey Wales, D.D.S.
• Sarah Katherine Walton, D.D.S
• Virginia Warner, LCPC
• Cary Wasko

• Occupational Therapist in Livingston, MT
• Providers in Livingston, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.