MS. ELISABETH BEAVAN OTR NPI 1346331956

NPI Information

NPI: 1346331956
Provider Name: MS. ELISABETH BEAVAN, OTR
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
600 TUCKERS LN
SOUTHOLD, NY
ZIP 11971
Phone: (631) 765-2283
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MS. Elisabeth Beavan, OTR is a hand occupational therapist in Southold, NY. MS. Elisabeth Beavan, OTR NPI is 1346331956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 TUCKERS LN
SOUTHOLD, NY
ZIP 11971-044
Phone: (631) 765-2283
Fax: (631) 765-6879

The enumeration date for this NPI number is 9/27/2006 and was last updated on 1/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	002548-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q69372	MEDICARE UPIN	NEW YORK
2	Q69373	MEDICARE UPIN	NEW YORK
3	Q69371	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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