Individual provider Active NPI

Beth A Risner, OT

  • Occupational Therapist
  • Merrillville, IN
National Provider Identifier
1801138532
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31005453A Issued in IN
Practice address
8455 Broadway
Merrillville, IN 46410-6220
Phone
(219) 769-7211
Fax
(219) 769-7236
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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 31005453A IN Primary

Addresses

Primary practice location

8455 Broadway
Merrillville, IN 46410-6220

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Beth A Warkentien Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130701000037 IN Practitioner - Occupational Therapist in Private Practice 4981844685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 Broadway PLZ
Peru, IN 46970-1052
Phone (765) 327-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jul 28, 2021 Accepting new patients
Advanced Physical Therapy, LLC Occupational Therapist CurrentSince Apr 1, 2013 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Mar 20, 2013 Accepting new patients
Advanced Physical Therapy, LLC Occupational Therapist CurrentSince Apr 1, 2013 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Occupational Therapist CurrentSince Jul 28, 2021 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Mar 20, 2013 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11275 Delaware Pkwy
#B
Crown Point, IN 46307
Phone (219) 304-6074

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

8455 Broadway
Merrillville, IN 46410
Phone (219) 769-7211

5 Broadway Plz
Peru, IN 46970
Phone (765) 327-2111

3319 Willowcreek Rd
Portage, IN 46368
Phone (574) 544-5434

71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576

2502 Calumet Ave
Valparaiso, IN 46383
Phone (219) 280-2034

10787 Randolph St
Ste 220
Winfield, IN 46307
Phone (219) 333-5900

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1801138532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106220",
            "telephone_number": "219-769-7211",
            "fax_number": "219-769-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISNER",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005453A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "WARKENTIEN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.