Mary Beth Anne Gleason, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

012302-1 Issued in NY

Practice address

111 White Bridge Rd
Middletown, NY 10940-7319

Phone

(914) 850-5269

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1689974628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WHITE BRIDGE RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109407319",
            "telephone_number": "914-850-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WHITE BRIDGE RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109407319",
            "telephone_number": "914-850-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "MARY BETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "012302-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley C. Giudici, M.D., M.A.R.
• Delores Givans, LPN
• Joseph Ezra Glaser, MD
• Lavern Angela Glave, ANP
• Cori-Leigh Gleason
• Deborah Ann Glebocki, O.T.
• Gleneida Medical Care,PC
• Carlton I. Glover, MD
• Goddard Lainjo, M.D., P.C.
• Rosaura Maria Godinez

• Pediatric Occupational Therapist in Middletown, NY
• Providers in Middletown, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.