Active NPI
Jane Renae Beckwith, OTR/L
- Occupational Therapist
- Flint, MI
National Provider Identifier
1942537816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 4466 W Bristol Rd
Flint, MI 48507-3170 - Phone
- (810) 733-1200
- Fax
- (810) 733-3130
- NPI assigned
- Nov 12, 2009
- 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 | Primary |
Addresses
Primary practice location
4466 W Bristol Rd
Flint, MI 48507-3170
Mailing address
4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0N45090 | Other | MI | MEDICARE GRP NUMBER |
| 1215930490 | Other | MI | TYPE 2 NPI |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1942537816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4466 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485073170",
"telephone_number": "810-733-1200",
"fax_number": "810-733-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4466 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485073170",
"telephone_number": "810-733-1200",
"fax_number": "810-733-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKWITH",
"first_name": "JANE",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-12",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP NUMBER",
"identifier": "0N45090",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI",
"identifier": "1215930490",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.