John Beck, COTA
Individual provider Active NPI Occupational Therapy Assistant · Franklin, WI
NPI 1871901488 · NPPES record last updated Jul 28, 2014
Key facts
- NPI
- 1871901488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.003548 (IL)
- Practice address
- 8420 W Drexel Ave
Franklin, WI 53132-9725 - Phone
- (414) 217-5831
- NPI assigned
- Jul 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.003548 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.003548 | IL | Yes |
Addresses
Primary practice location
8420 W Drexel Ave
Franklin, WI 53132-9725
Mailing address
8420 W Drexel Ave
Franklin, WI 53132-9725
Phone (414) 217-5831
Other providers in Franklin, WI
- Carmela A Barr
- Amanda Lyne Bartels
- Brian A Bartz
- Cynthia Anne Bauer
- Giovanni Beaumont
- Jenna Bednar
- Carl Bellinger
- Thanlla Beltre-Calderon
- Carrie Berg
- Jarek Berg
All providers in Franklin, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.