Individual provider Active NPI

Christopher Wayne Beebe

  • Occupational Therapy Assistant
  • Fort Myers, FL
National Provider Identifier
1801588538
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA13699 Issued in FL
Practice address
18301 Trifecta LN
Fort Myers, FL 33967-3032
Phone
(239) 560-3547
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA13699 FL Primary

Addresses

Primary practice location

18301 Trifecta LN
Fort Myers, FL 33967-3032

Mailing address

13621 Eagle Ridge Dr Apt 1527
Fort Myers, FL 33912-6824
Phone (239) 560-3547

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA13699FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1801588538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13621 EAGLE RIDGE DR APT 1527",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339126824",
            "telephone_number": "239-560-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 TRIFECTA LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673032",
            "telephone_number": "239-560-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.