Provider Demographics
NPI:1003277385
Name:OCCUPATIONAL THERAPY CONSULTING, LLC
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEINS
Authorized Official - Suffix:
Authorized Official - Credentials:BA, OTR/L
Authorized Official - Phone:240-457-9558
Mailing Address - Street 1:47 E SOUTH ST
Mailing Address - Street 2:SUITE 01-A
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5980
Mailing Address - Country:US
Mailing Address - Phone:240-457-9558
Mailing Address - Fax:240-415-9200
Practice Address - Street 1:47 E SOUTH ST
Practice Address - Street 2:SUITE 01-A
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5980
Practice Address - Country:US
Practice Address - Phone:240-457-9558
Practice Address - Fax:240-415-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5970101YP2500X
MD21543225100000X
MD03259225X00000X, 225XF0002X, 225XN1300X, 225XP0200X
MD06574225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & SwallowingGroup - Multi-Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty