Active NPI
Bethany Marie Flores, DPT
- Physical Therapist
- Greensboro, NC
National Provider Identifier
1073030102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14359
- Practice address
- 2105 Braxton LN Ste 101
Greensboro, NC 27408-2862 - Phone
- (336) 458-3694
- NPI assigned
- Aug 29, 2017
- 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 | P14359 | NC | Primary |
Addresses
Primary practice location
2105 Braxton LN Ste 101
Greensboro, NC 27408-2862
Mailing address
981 High House Rd Ste 100
Cary, NC 27513-3510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Brody School of Medicine at East Carolina University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4307 Western Park Place
Suite 204
Durham, NC 27705-1224
Phone (833) 233-7875
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P14359 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
4307 Western Park Pl
Ste 204
Durham, NC 27705
Phone (801) 440-5592
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
Organizations & group practices 2
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.
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1073030102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 HIGH HOUSE RD STE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275133510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 BRAXTON LN STE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082862",
"telephone_number": "336-458-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "BETHANY",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.