Jill Beaver, OCCUPATIONAL THERAPY
Individual provider Active NPI Occupational Therapy Assistant · Owensboro, KY
NPI 1679638688 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1679638688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 1563 Wrights Landing Rd
Owensboro, KY 42303-9742 - Phone
- (270) 668-9125
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
1563 Wrights Landing Rd
Owensboro, KY 42303-9742
Mailing address
1563 Wrights Landing Rd
Owensboro, KY 42303-9742
Phone (270) 668-9125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45118379EPSDT | Medicaid | KY | |
| 33000035SCL | Medicaid | KY | |
| 11903135ICF | Medicaid | KY |
Other providers in Owensboro, KY
- Erin Leigh Basham
- Samantha Basham
- Shelby Basham
- Charles E Bea
- Katherine Bean
- Jessica Beckman
- Lauren Beguin
- Behavior Associates, LLC
- Behavioral Healthcare Services
- Behavioral Healthcare Services, Inc.
All providers in Owensboro, KY · Occupational Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.