Active NPI
Beth Cummings
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1982094751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT13478
- Practice address
- 11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686 - Phone
- (904) 652-5408
- NPI assigned
- Jan 30, 2015
- 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 | OT13478 | FL | Primary |
Addresses
Primary practice location
11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Mailing address
13405 Foxhaven Dr N
Jacksonville, FL 32224-2003
Phone (904) 962-2977
Other practice location 1
841 Prudential Dr Ste 180
Jacksonville, FL 32207-8350
Phone (904) 202-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11555 Central Pkwy
Suite 202
Jacksonville, FL 32224-2693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Body Physical Therapy Inc | Current | Accepting new patients | |
| Baptist MD Anderson Cancer Physicians Inc | Past | Accepting new patients |
Locations
11555 Central Pkwy
Ste 202
Jacksonville, FL 32224
Phone (904) 296-4140
Organizations & group practices 2
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
- Jacksonville, FL
- NPI 1396767018
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1538593124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1982094751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13405 FOXHAVEN DR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242003",
"telephone_number": "904-962-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11512 LAKE MEAD AVE UNIT 604",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569686",
"telephone_number": "904-652-5408"
}
],
"practiceLocations": [
{
"address_1": "841 Prudential Dr Ste 180",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078350",
"country_code": "US",
"telephone_number": "904-202-4600",
"fax_number": "904-202-4638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUMMINGS",
"first_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT13478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.