Bethany Kingsley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.014050 Issued in IL

Practice address

4619 N Ravenswood Ave Ste 205B
Chicago, IL 60640-4579

Phone

(773) 697-7333

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids on the Grow

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1881920270

  Occupational Therapist

  NPD (past)
• Sensable Kids, P.C.

  • Occupational Therapist
  • Chicago, IL
  • NPI 1992989123
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1902482128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 S BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436705",
            "telephone_number": "773-226-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 N RAVENSWOOD AVE STE 205B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404579",
            "telephone_number": "773-697-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "BETHANY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Kingery, MD
• Raveena Kingra
• Kingscare Home Health LLC
• Kingsfoil Counseling PLLC
• Alana Julia Kingsley, PSYD
• John Spencer Kingsley, DC
• Samuel Stephens Kingsley, MD
• Kiera Anne Kingston, MD
• Kingzkid Health Services LLC
• Kingzkid Health Services LLC

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.