Amy R Beaver, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5333-27 Issued in WI

Practice address

768 Aldro Rd
Hudson, WI 54016-7825

Phone

(715) 781-7189

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1609313154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 ALDRO RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167825",
            "telephone_number": "715-781-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 ALDRO RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167825",
            "telephone_number": "715-781-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5333-27",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Bartlett, MS
• Shannon Elizabeth Bartlett, LPC
• Cynthia J Bast, PAC
• Lynsey Batenhorst, MS CCC-SLP
• Travis Beauchamp, D.C.
• Angela Kristine Beck, BSN, RN
• Stephanie Jordan Becker, MSW, LICSW, LCSW
• Bee Healthy Chiropractic
• Laura Beeson
• Andrea Dawn Beitler, MA, PC

• Occupational Therapy Assistant in Hudson, WI
• Providers in Hudson, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.