Beth Bostrom

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1766 Issued in TN

Practice address

1128 E Weisgarber Rd
Suite 100
Knoxville, TN 37909-2674

Phone

(865) 579-0552

NPI assigned

Dec 19, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Pain Consultants of East Tennessee, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Knoxville, TN
  • NPI 1609890383
  Medicare reassignment NPD
• Behavioral Medicine Institute PC

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1073674552
  NPD (past)
• The Childrens Institute of Pittsburgh

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1255422408
  NPD (past)
• The Childrens Institute of Pittsburgh

  • Occupational Therapist
  • Pittsburgh, PA
  • NPI 1720585466
  NPD (past)

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1518388479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 SCENIC DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 E WEISGARBER RD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092674",
            "telephone_number": "865-579-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTROM",
        "first_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Cheyenne Boshears
• Brandi Bosman, CCC-SLP
• Matej Bosnjak, FNP-BC
• Dondrea Bostick
• Curt Boston
• Sarah A Boswell, PHARMD
• Boswellyn Inc
• Boswellyn Inc
• Boswellyn Inc
• Boswellyn Inc

• Occupational Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.