Active NPI
Amy Leigh Beyer, OTR/L
- Occupational Therapist
- Gardena, CA
National Provider Identifier
1962720011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22197
- Practice address
- 1149 W 190TH St Ste 2300
Gardena, CA 90248-4350 - Phone
- (310) 892-5812
- NPI assigned
- May 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 63015923 | NY | |
| Occupational Therapist | 225X00000X | 22197 | CA | Primary |
Addresses
Primary practice location
1149 W 190TH St Ste 2300
Gardena, CA 90248-4350
Mailing address
3922 W 185TH St
Torrance, CA 90504-4821
Phone (862) 266-2199
Other practice location 1
80 Haven Ave
6E
New York, NY 10032-2614
Phone (862) 266-2199
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63015923 | NY | MD | Occupational Therapist |
| 22197 | CA | MD | Neonatal/Pediatric Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1962720011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3922 W 185TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905044821",
"telephone_number": "862-266-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 W 190TH ST STE 2300",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484350",
"telephone_number": "310-892-5812"
}
],
"practiceLocations": [
{
"address_1": "80 Haven Ave",
"address_2": "6E",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100322614",
"country_code": "US",
"telephone_number": "862-266-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEYER",
"first_name": "AMY",
"middle_name": "LEIGH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-13",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63015923",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.