Bethany L Tucker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3176 Issued in ME

Practice address

840 Hammond St Ste 2
Bangor, ME 04401-4339

Phone

(207) 433-7778

Fax

(866) 220-5031

NPI assigned

Sep 21, 2006

Last updated

Mar 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bethany L Perrin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Apex Interventional Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Bangor, ME
  • NPI 1306639232
  NPD (past)
• Dragonfly Therapy

  • Physical Therapist
  • Bangor, ME
  • NPI 1134192040
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1093814485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ST LOUIS AVE",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010874",
            "telephone_number": "207-991-7412",
            "fax_number": "866-220-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HAMMOND ST STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014339",
            "telephone_number": "207-433-7778",
            "fax_number": "866-220-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT3176",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00369309",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "099276",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "PERRIN",
            "middle_name": "L",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trulenas Heart of Home Care, LLC
• Susan Janice Trzop-Haiden, PHARMACIST
• Antonios Tsismenakis, MD
• Allison Tsomides, PA-C
• Beth E Tubbs, PT
• Deidre P Tukey, MSN
• Lynna Ann Tupica, LCPC
• Amanda Jean Turcotte, DPT
• Barbara Pita Turcotte, M.D.
• Jeffrey Pelham Turk, LCPC-C, NCC

• Physical Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.