Active NPI
Beatrice L Henriksson, COTA
- Occupational Therapy Assistant
- Vernon, VT
National Provider Identifier
1831489285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 073.0075595
- Practice address
- 61 Greenway Dr.
Vernon House
Vernon, VT 05354-9474 - Phone
- (802) 254-6041
- NPI assigned
- Apr 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 073.0075595 | VT | Primary |
Addresses
Primary practice location
61 Greenway Dr.
Vernon House
Vernon, VT 05354-9474
Mailing address
PO Box 445
Glenmont, NY 12077-0445
Phone (518) 396-9083
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
| License | State | Type | Specialty |
|---|---|---|---|
| 073.0075595 | VT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1831489285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120770445",
"telephone_number": "518-396-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 GREENWAY DR.",
"address_2": "VERNON HOUSE",
"city": "VERNON",
"state": "VT",
"postal_code": "053549474",
"telephone_number": "802-254-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIKSSON",
"first_name": "BEATRICE",
"middle_name": "L",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VT",
"license": "073.0075595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.