Angela Gail Beard

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2206 Issued in SC

Practice address

102 Ashton Dr
Goose Creek, SC 29445-6626

Phone

(843) 708-0859

Fax

(843) 821-6579

NPI assigned

Jan 24, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston OT LLCGroup PAC ID 7911327267, 6 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charleston OT LLC

  • Occupational Therapist
  • Charleston, SC
  • NPI 1144679655

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Building Blocks Therapy, LLC

  • Pediatric Occupational Therapist
  • Goose Creek, SC
  • NPI 1003953514

  Pediatrics

  NPD (past) Authorized official
• Charleston St LLC

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1629777511
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588719249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ASHTON DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456626",
            "telephone_number": "843-708-0859",
            "fax_number": "843-821-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ASHTON DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456626",
            "telephone_number": "843-708-0859",
            "fax_number": "843-821-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "ANGELA",
        "middle_name": "GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "2206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1468",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Barton, LPC-A
• Basic Black Limo, LLC Dba Basic Black Transportation
• Rebecca Anne Bates, PHARMD
• Corey Baumis, FNP-C
• Jessica Beanard
• Roger A. Bechtol, RPH
• Allison Marlene Belcher, LPES
• Christopher Paul Benoit, D.C.
• Lisa Harper Berezny, LMT
• Berkeley County School District

• Pediatric Occupational Therapist in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.