Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aja Bethany, OTR

Individual provider Occupational Therapist · NPI 1073889739

Aja Bethany, OTR is an Occupational Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2005, 21 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2012
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

10600 Lewis And Clark Blvd
Saint Louis, MO 63136-6005
Phone: (314) 283-6955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2006003768 (MO)

Record details

NPI number1073889739
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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