Active NPI
Bethany Anne Delmotte, DPT
- Physical Therapist
- Romeo, MI
National Provider Identifier
1013306182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017068
- Practice address
- 67962 Van Dyke Rd
Romeo, MI 48065-5163 - Phone
- (586) 336-4022
- Fax
- (586) 336-4082
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017068 | MI | Primary |
Addresses
Primary practice location
67962 Van Dyke Rd
Romeo, MI 48065-5163
Mailing address
1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 650-4720
Other names 1
- Bethany Raffa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1013306182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 STAR BATT DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093708",
"telephone_number": "248-650-4720",
"fax_number": "248-650-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67962 VAN DYKE RD",
"city": "ROMEO",
"state": "MI",
"postal_code": "480655163",
"telephone_number": "586-336-4022",
"fax_number": "586-336-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELMOTTE",
"first_name": "BETHANY",
"middle_name": "ANNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "RAFFA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Romeo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.