Beth Ingram Therapy Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BETH INGRAM THERAPY SERVICES

Practice address

2111 W Swann Ave Ste 100
Tampa, FL 33606-2478

Phone

(757) 386-3394

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Retsky, M.S. CF-SLP

Title

Speech Language Pathologist

Phone

(757) 386-3394

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1013565779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10598 ORANGE BLOSSOM LN",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337727503",
            "telephone_number": "757-386-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W SWANN AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062478",
            "telephone_number": "757-386-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH INGRAM THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "RETSKY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "757-386-3394",
        "authorized_official_credential": "M.S. CF-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVISIONAL LICENSE FOR SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "SZ9227",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mretsky@bethingram.com",
            "affiliation": "N",
            "address_1": "2111 W Swann Ave Ste 100",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336062478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Betancur, LCSW
• Beth C. Boone, PH.D., PLLC
• Beth Ingram & Associates, LLC
• Beth Ingram & Associates, LLC
• Beth Ingram & Associates, LLC
• Lisa Lakenya Bethea, MD
• Marvette Bethea
• Bethesda Revive Counseling Services, LLC
• Kendall Janelle Bett, PTA
• Elly Bettaney, BSN, BS, RN

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.