Beverly Bass, OTD, OTR/L, CHT, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12502 Issued in FL

Practice address

6100 Bartram Village Drive
Jacksonville, FL 32258

Phone

(813) 546-4542

NPI assigned

Jun 12, 2007

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

Other names 1

• Beverly Flood Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Physical Therapy IncGroup PAC ID 9436255973, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• First Coast Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1003823709

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1467594358
  Medicare reassignment NPD
• Move Mobile Therapy LLC

  • Physical Therapy Clinic/Center
  • Ponte Vedra, FL
  • NPI 1649817206
  NPD
• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc

  • Physical Therapist
  • Ponte Vedra Beach, FL
  • NPI 1821855586
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1699979005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14595 FALLING WATERS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581162",
            "telephone_number": "813-546-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BARTRAM VILLAGE DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32258",
            "telephone_number": "813-546-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "BEVERLY",
        "credential": "OTD, OTR/L, CHT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "FLOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saeed Bashir, MD
• Raja Bashiti, LMHC
• Kathleen Bashore
• Joseph Basi II, MD
• Rabia Basri
• Samantha Bass, LMT
• Sasha Anitra Bass, MS, RMHCI
• Teneisha Bass
• Theodore A Bass, M.D.
• Tracie Roulhac Bass

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.