Individual provider Active NPI

Shera Kay Beckort, OTR

  • Occupational Therapist
  • Scottsburg, IN
National Provider Identifier
1689871287
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31003713A Issued in IN
Practice address
1350 N Todd Dr
Scottsburg, IN 47170-7755
Phone
(812) 752-5663
Fax
(812) 752-9853
NPI assigned
Jun 28, 2007
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31003713A IN Primary

Addresses

Primary practice location

1350 N Todd Dr
Scottsburg, IN 47170-7755

Mailing address

1023 S Riley Dr
Scottsburg, IN 47170-6736
Phone (812) 752-3564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427002545 IN Practitioner - Occupational Therapist in Private Practice 3971968850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Mar 1, 2023 Accepting new patients

Locations

475 N Niles Ave
South Bend, IN 46617
Phone (574) 246-4123

Organizations & group practices 1

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.

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": "1261094400000",
    "number": "1689871287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 S RILEY DR",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471706736",
            "telephone_number": "812-752-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N TODD DR",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707755",
            "telephone_number": "812-752-5663",
            "fax_number": "812-752-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKORT",
        "first_name": "SHERA",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003713A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.