Bethany L Jelenic, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201005298 Issued in MI

Practice address

60 W Big Beaver Rd Ste 125
Bloomfield Hills, MI 48304-3915

Phone

(248) 309-8900

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michigan Orthopaedic Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Southfield, MI
  • NPI 1306394309
  Medicare reassignment Care Compare group NPD
• HQ of Bloomfield Hills LLC

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1104655810
  NPD
• Empire State Occupational Therapy PC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1518026756
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1518035690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD STE 125",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043915",
            "telephone_number": "248-309-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD STE 125",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043915",
            "telephone_number": "248-309-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELENIC",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013215-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas William Jarvi, PHARMD
• Emmanuel L Javier
• Carl Rueben Jay Jr., D.P.M.
• Beverly Ann Jaynes, MA, CCC-SLP
• Rana Jazrawi
• Jennifer Smak, LMSW LLC
• Patrizia Jesue, RD
• William H Jewell Jr., M.D.
• Harold E. Joh, MD
• Karin Beth Johnson, LMSW

• Occupational Therapist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.