Individual provider Active NPI

Erica Beverly Hill, OT

  • Occupational Therapist
  • Dacula, GA
National Provider Identifier
1811241367
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004239 Issued in GA
Practice address
575 Roland Manor Dr
Dacula, GA 30019-6584
Phone
(404) 531-8590
Fax
(404) 531-8581
NPI assigned
Nov 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 OT004239 GA Primary

Addresses

Primary practice location

575 Roland Manor Dr
Dacula, GA 30019-6584

Mailing address

575 Roland Manor Drive
Dacula, GA 30019
Phone (404) 234-5205

Other practice location 1

3160 Main St Ste 103
Duluth, GA 30096-3461
Phone (404) 955-7202

Other practice location 2

5580 La Jolla Blvd
LA Jolla, CA 92037-7651
Phone (877) 399-3746

Other names 1

  • Erica R. Beverly Former name

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

LicenseStateTypeSpecialty
004239GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Clinic Sports Physical Therapy and Spine LLC PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1811241367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROLAND MANOR DRIVE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "404-234-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROLAND MANOR DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196584",
            "telephone_number": "404-531-8590",
            "fax_number": "404-531-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963461",
            "country_code": "US",
            "telephone_number": "404-955-7202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5580 La Jolla Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920377651",
            "country_code": "US",
            "telephone_number": "877-399-3746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "ERICA",
        "middle_name": "BEVERLY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BEVERLY",
            "middle_name": "R.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.