Active NPI
Bethany J Walls, OCCUPATIONAL THERAPI
- Occupational Therapist
- Oakland, MD
National Provider Identifier
1912006511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05259
- Practice address
- 6500 Thayer Ctr
Oakland, MD 21550-1116 - Phone
- (301) 334-1863
- Fax
- (301) 334-5835
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 05259 | MD | Primary |
Addresses
Primary practice location
6500 Thayer Ctr
Oakland, MD 21550-1116
Mailing address
RR 2 Box 396
Albright, WV 26519-9768
Phone (304) 379-6577
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6157478 | Other | MD | CIGNA |
| 0009 | Other | MH | FEDERAL BCBS |
| 61968501 | Other | MD | CAREFIRST BCBS |
| 7502154000 | Medicaid | WV |
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 |
|---|---|---|---|
| 05259 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912006511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 396",
"city": "ALBRIGHT",
"state": "WV",
"postal_code": "265199768",
"telephone_number": "304-379-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 THAYER CTR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501116",
"telephone_number": "301-334-1863",
"fax_number": "301-334-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "BETHANY",
"middle_name": "J",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6157478",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BCBS",
"identifier": "0009",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "61968501",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7502154000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2894)
- Wal-Mart Stores East, LP (Vision Center 30-2894)
- Charles A Walch, M.D., F.A.C.S.
- Walgreen Co (Walgreens #12266)
- Walgreen Co. (Walgreens #12266)
- Elizabeth A Walter, RN
- Holly M Warne, OTR/L
- Stacey Warnick, M.P.T.
- Wellspring Family Medicine, PC
- Wellspring Family Medicine, PC (Wellspring family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.