Active NPI
Tina Bevil
- Occupational Therapist
- Charleston, WV
National Provider Identifier
1598889206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 233
- Practice address
- 800 Association Dr
Suite 209
Charleston, WV 25311-1272 - Phone
- (304) 342-7049
- Fax
- (304) 342-7206
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 233 | WV | Primary |
Addresses
Primary practice location
800 Association Dr
Suite 209
Charleston, WV 25311-1272
Mailing address
1102 Lynn Oak Dr
Charleston, WV 25313-2254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598889206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 LYNN OAK DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253132254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ASSOCIATION DR",
"address_2": "SUITE 209",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111272",
"telephone_number": "304-342-7049",
"fax_number": "304-342-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVIL",
"first_name": "TINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.