Individual provider Active NPI

Julie Beth Harbert, OTR

  • Occupational Therapist
  • Bridgeport, WV
National Provider Identifier
1649477183
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
T00534 Issued in MD
Practice address
306 W Main St
Bridgeport, WV 26330-1751
Phone
(304) 842-3137
Fax
(304) 842-3138
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X T00534 MD Primary
Occupational Therapist 225X00000X 1357 WV

Addresses

Primary practice location

306 W Main St
Bridgeport, WV 26330-1751

Mailing address

306 W Main St
Bridgeport, WV 26330-1751
Phone (304) 842-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000276 WV Practitioner - Physical Medicine and Rehabilitation 1254403520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
West Virginia University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Bridgeport Physical Therapy Services, Inc.Group PAC ID 3678501855, 7 clinicians

Practice addresses (Care Compare)

306 W Main St
Bridgeport, WV 26330-1751
Phone (304) 842-3137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T00534MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Physical Therapy Services, Inc. CurrentSince Feb 17, 2010 Accepting new patients
Bridgeport Physical Therapy Services, Inc. Occupational Therapist CurrentSince Feb 17, 2010 Accepting new patients
Preston Rehabilitation & Orthopedic Physical Therapy, Inc PastSince Jan 1, 2004 Accepting new patients

Locations

306 W Main St
Bridgeport, WV 26330
Phone (304) 842-3137

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1649477183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-3137",
            "fax_number": "304-842-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-3137",
            "fax_number": "304-842-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBERT",
        "first_name": "JULIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "T00534",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.