Beverly Waldeisen, OTR/C
Individual provider Active NPI Occupational Therapist · Livingston, MT
NPI 1508920810 · NPPES record last updated Mar 11, 2014
Key facts
- NPI
- 1508920810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 181 (MT)
- Practice address
- 601 Robin LN
Livingston, MT 59047-3810 - Phone
- (406) 222-7231
- Fax
- (406) 222-2435
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dandelion Counseling, LLC | Past |
Accepting new patients | |
| Health in Motion Physical Therapy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 181 | MT | Yes |
Addresses
Primary practice location
601 Robin LN
Livingston, MT 59047-3810
Mailing address
504 S 13TH St
Livingston, MT 59047-3727
Phone (406) 222-3541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000345848 | Medicaid | MT | |
| 660390 | Other | MT | BLUE CROSS BLUE SHIELD |
Other providers in Livingston, MT
- Jamie Lynn Van Zee
- Lisa Calkins Vanderpan
- William J. Venable
- Antonette Vincent
- Douglas P Wadle
- Jeannette Wagner Waldron
- Joanna Vaughey Wales
- Sarah Katherine Walton
- Virginia Warner
- Cary Wasko
All providers in Livingston, MT · Occupational Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.