Individual provider Active NPI

Beth Grove Suppok, OT

  • Occupational Therapist
  • Somerset, PA
National Provider Identifier
1902058704
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010191 Issued in PA
Practice address
223 S Pleasant Street Suite 301
Ospta Somerset
Somerset, PA 15510
Phone
(412) 751-0040
Fax
(724) 483-3154
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 OC010191 PA Primary

Addresses

Primary practice location

223 S Pleasant Street Suite 301
Ospta Somerset
Somerset, PA 15510

Mailing address

625 Lincoln Ave
Suite 107
N Charleroi, PA 15022
Phone (724) 483-3610

Other identifiers 1

IdentifierTypeStateIssuer
102211357 0001MedicaidPA

Other names 1

  • Miss Beth Grove Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090925000394 PA Practitioner - Occupational Therapist in Private Practice 6608922166 Reassigns benefits to 1 organization
I20160920000973 WV Practitioner - Occupational Therapist in Private Practice 6608922166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3109 University Ave
Suite C
Morgantown, WV 26505-3205
Phone (304) 241-5670

625 Lincoln Ave
Suite 107
North Charleroi, PA 15022-2451
Phone (724) 483-4886

710 Clairton Blvd
Pleasant Hills, PA 15236-4596
Phone (412) 655-4252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc OT Occupational Therapist CurrentSince Jul 1, 2009 Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc Occupational Therapist CurrentSince Jul 1, 2009 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. CurrentSince Jul 1, 2016 Accepting new patients

Locations

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-4886

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

4325 State Route 51
Rostraver Township, PA 15012
Phone (724) 483-4859

223 S Pleasant Ave
Ste 301
Somerset, PA 15501
Phone (814) 443-6588

3109 University Ave
Ste C
Morgantown, WV 26505
Phone (304) 241-4020

Organizations & group practices 3

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": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1902058704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "SUITE 107",
            "city": "N CHARLEROI",
            "state": "PA",
            "postal_code": "15022",
            "telephone_number": "724-483-3610",
            "fax_number": "724-489-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S PLEASANT STREET SUITE 301",
            "address_2": "OSPTA SOMERSET",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15510",
            "telephone_number": "412-751-0040",
            "fax_number": "724-483-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPOK",
        "first_name": "BETH",
        "middle_name": "GROVE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102211357 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GROVE",
            "prefix": "MISS",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.