Active NPI
Barbara C Bethea, MA, PT-R, LCAT
- Poetry Therapist
- Brooklyn, NY
National Provider Identifier
1083770051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Poetry Therapist
- License
- 000922
- Practice address
- 100 N Portland Ave
Room B6
Brooklyn, NY 11205-2005 - Phone
- (718) 260-7879
- Fax
- (718) 260-4801
- NPI assigned
- Dec 28, 2006
- Last updated
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Poetry Therapist | 102X00000X | 000922 | NY | Primary |
Addresses
Primary practice location
100 N Portland Ave
Room B6
Brooklyn, NY 11205-2005
Mailing address
23111 125TH Ave
Laurelton, NY 11413-1302
Phone (718) 978-4663
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000922 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1083770051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23111 125TH AVE",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114131302",
"telephone_number": "718-978-4663",
"fax_number": "718-527-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N PORTLAND AVE",
"address_2": "ROOM B6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052005",
"telephone_number": "718-260-7879",
"fax_number": "718-260-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEA",
"first_name": "BARBARA",
"middle_name": "C",
"credential": "MA, PT-R, LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": "NY",
"license": "000922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.