BEVERLY BASS OTD, OTR/L, CHT, CLT
NPI 1699979005
Occupational Therapist in Jacksonville, FL

Active since June 12, 2007Accepts Medicare Assignment
6100 BARTRAM VILLAGE DRIVE, JACKSONVILLE, FL 32258(813) 546-4542 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beverly Bass Otd, Otr/l, Cht, Clt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY BASS OTD, OTR/L, CHT, CLT (NPI 1699979005) is an individual occupational therapist in Jacksonville, Florida, licensed in Florida (OT12502) and active in the NPI registry since June 2007. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1699979005
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameBEVERLY BASSCredential: OTD, OTR/L, CHT, CLT
Location Address6100 BARTRAM VILLAGE DRIVEJacksonville, FL 32258
Mailing Address14595 Falling Waters DrJacksonville, FL 32258-1162 · (813) 546-4542
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 12, 2007
Last NPPES UpdateJune 14, 2018
✔ NPI 1699979005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in FL · OT12502
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
6100 BARTRAM VILLAGE DRIVE, Jacksonville, FL 32258

Other Names 1

Former Name (1)Beverly Flood

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Beverly Bass Otd, Otr/l, Cht, Clt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416208236
PECOS Enrollment IDI20180918002586

Medicare Billing Reassignments

2

Medicare enrollment records show Beverly Bass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
4320 PABLO PROFESSIONAL CT # 155
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
Physical Therapy
2630 US 1 S
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
247 services18 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
205 services18 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
164 services18 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
144 services15 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
136 services22 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Bass's NPI number?

The NPI number for Beverly Bass is 1699979005. It was assigned to this individual provider in the NPPES registry on June 12, 2007. The provider is also known as Beverly Flood.

Where is Beverly Bass located?

Beverly Bass practices at 6100 Bartram Village Drive, Jacksonville, FL 32258. The listed phone number is (813) 546-4542.

What is Beverly Bass's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Beverly Bass enrolled in Medicare?

Yes. Beverly Bass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Beverly Bass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Bass reassigns Medicare benefits to 2 organizations: Premier Physical Therapy And Rehabilitation Of Jacksonville, Inc. (Jacksonville, FL) and First Coast Physical Therapy Inc (St Augustine, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Bass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Bass was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.