Active NPI
Bonnie Gail Beal, OTR CHT
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1780770479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31000461A
- Practice address
- 8501 Harcourt Rd
Indianapolis, IN 46260 - Phone
- (317) 875-9105
- Fax
- (317) 875-8638
- NPI assigned
- Oct 4, 2006
- Last updated
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31000461A | IN | Primary |
| Hand Occupational Therapist | 225XH1200X | 31000461A | IN |
Addresses
Primary practice location
8501 Harcourt Rd
Indianapolis, IN 46260
Mailing address
8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 875-9105
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000179357 | Other | ANTHEM HEALTH PLAN | |
| 67000268 | Other | IN | RR MEDICARE |
| 062110009 | Other | IN | MEDICARE PTAN |
| 200037020 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000461A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beltway Surgery Centers LLC | Past | Accepting new patients | |
| Indiana University Health Ambulatory Surgery Centers, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Indiana Hand to Shoulder Beltway Surgery Center
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
- NPI 1205939345
-
dba IU Health Surgery Center - Harcourt
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
- NPI 1841187143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1780770479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 HARCOURT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46260",
"telephone_number": "317-875-9105",
"fax_number": "317-875-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 HARCOURT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46260",
"telephone_number": "317-875-9105",
"fax_number": "317-875-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "BONNIE",
"middle_name": "GAIL",
"credential": "OTR CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31000461A",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IN",
"license": "31000461A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH PLAN",
"identifier": "000000179357",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "67000268",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "062110009",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200037020",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.