MEDICARE: BEYOND BARRIERS THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1184954844	OTHER		NPI

General Provider Information

NPI Number	:	1134082035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND BARRIERS THERAPY PLLC

Provider Business Mailing Address
First Line	:	20329 146TH STREET CT E
Second Line	:
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-5586
Country	:	US
Telephone Number	:	253-691-3791
Fax Number	:

Provider Business Practice Location Address
First Line	:	20329 146TH STREET CT E
Second Line	:
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-5586
Country	:	US
Telephone Number	:	253-691-3791
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	LAUREN SHELTON
Credential	:	OTR/L
Telephone Number	:	253-691-3791

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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