Bethany Dawn Warner, MS, OTRL
Occupational Therapist in Fort Worth, TX. Individual provider (NPI-1).
NPI number1861682809
StatusActive
Last updated in NPPESSep 13, 2023
Details
- NPI
- 1861682809
- Entity type
- Individual (NPI-1)
- Name
- Bethany Dawn Warner
- Credential
- MS, OTRL
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2007
- Certification date
- Sep 13, 2023
- Last updated
- Sep 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 120550 | TX | Yes |
| 225X00000X | Occupational Therapist | 014302-1 | NY |
Practice location
4201 Bridgeview DrFort Worth, TX 76109-9571
Phone 817-476-2480
Mailing address
4201 Bridgeview DrFort Worth, TX 76109-9571
Phone 817-476-2480
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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