Individual provider Active NPI

Beth Cummings

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1982094751
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13478 Issued in FL
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

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20181128002977 FL Practitioner - Occupational Therapist in Private Practice 4688918881 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Smart Body Physical Therapy Inc CurrentSince Jul 1, 2024 Accepting new patients
Baptist MD Anderson Cancer Physicians Inc PastSince Nov 1, 2019 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.

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.

Verify at the official NPI Registry.