BETHANY EASTWOOD (OTR) – Occupational Therapist, NPI 1023240959

BETHANY EASTWOOD (OTR) is a healthcare provider. based in Kansas city, Kansas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. T-02552 (KS). The NPI Number for BETHANY EASTWOOD (OTR) is 1023240959

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY EASTWOOD (OTR)
NPI
1023240959
Phone
(615) 896-6400
Address
6500 GREELEY AVE
Enumeration Date
11 August 2009
Last Update Date
20 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9134123745
Graduation Year
2009 (17 years ago)
PAC ID
4183756794
Group Practice PAC ID
9830504836
Professional Enrollment ID
I20110120000976
Address ID
KS662062166PR4100XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

191 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in KS

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Provider Addresses for BETHANY EASTWOOD (OTR)

  • 6500, Greeley Avenue, Kansas City, Wyandotte County, Kansas, 66104, United States

    KANSAS CITY, KS 661042647

    Phone: (615) 896-6400

    Type: Location

  • 8829, North Congress Avenue, Kansas City, Platte County, Missouri, 64153, United States

    KANSAS CITY, MO 641531891

    Phone: (615) 896-6400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110120000976IOccupational Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830504836View full group profile
NameSpecialtyState
Family PracticeMO
Occupational Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeKS
Qualified Speech Language PathologistMO
Qualified Speech Language PathologistMO
Orthopedic SurgeryKS
Qualified Speech Language PathologistMO
Qualified Speech Language PathologistIL
Vascular Surgery, General Practice, General SurgeryIL

Reviews

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Frequently asked questions

Is BETHANY EASTWOOD (OTR) listed with a National Provider Identifier?
Yes — BETHANY EASTWOOD (OTR) has NPI 1023240959 on file in the registry.
Is there an active status for BETHANY EASTWOOD (OTR)?
For scheduling context, BETHANY EASTWOOD (OTR) is shown as active in the registry.
What area of care is associated with BETHANY EASTWOOD (OTR)?
BETHANY EASTWOOD (OTR)'s record emphasizes Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is BETHANY EASTWOOD (OTR) associated with Kansas City?
Public fields place BETHANY EASTWOOD (OTR) around Kansas City, Kansas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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