Individual provider Active NPI

Bethany Thoresen

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1013027747
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295
Phone
(512) 439-1000
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295

Mailing address

4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295
Phone (512) 439-1000

Other identifiers 1

IdentifierTypeStateIssuer
1076917OtherTXLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617003218 HI Practitioner - Physical Therapist in Private Practice 1153334230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodypro Physical Therapy IncGroup PAC ID 7315012705, 6 clinicians

Practice addresses (Care Compare)

65 -1292 Kawaihae Rd
Suite a
Kamuela, HI 96743-8404
Phone (808) 887-1371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bodypro Physical Therapy Inc Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Ortholonestar, PLLC PastSince Oct 1, 2020 Accepting new patients
Ortholonestar, PLLC Past Accepting new patients

Locations

64-974 Mamalahoa Hwy
Ste 103
Kamuela, HI 96743

65-1292 Kawaihae Rd
Ste A
Kamuela, HI 96743
Phone (808) 494-0197

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1013027747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595295",
            "telephone_number": "512-439-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595295",
            "telephone_number": "512-439-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESEN",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1076917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.