Individual provider Active NPI

Bethany Anne Jutzy Kecskes

  • Physical Therapist
  • Greentown, PA
National Provider Identifier
1134523491
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT031012 Issued in PA
Practice address
1564 Route 507 Ste C
Greentown, PA 18426-4502
Phone
(570) 676-0700
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT031012 PA Primary

Addresses

Primary practice location

1564 Route 507 Ste C
Greentown, PA 18426-4502

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168

Other practice location 1

1225 Eureka Way Ste B
Redding, CA 96001-0815
Phone (530) 247-1280

Other names 1

  • Bethany Anne Jutzy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, CA, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150615002768 MT Practitioner - Physical Therapist in Private Practice 0345551594 Reassigns benefits to 3 organizations
I20190819002088 CA Practitioner - Physical Therapist in Private Practice 0345551594 Reassigns benefits to 1 organization
I20240910004660 PA Practitioner - Physical Therapist in Private Practice 0345551594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivot Physical Therapy of Pennsylvania LLCGroup PAC ID 4981971843, 123 clinicians

Practice addresses (Care Compare)

1564 Route 507
Suite C
Greentown, PA 18426-4502
Phone (570) 676-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Mosaic, Inc CurrentSince Oct 20, 2014 Accepting new patients
Clearwater Therapeutics LLC CurrentSince May 27, 2017 Accepting new patients
Root Therapy and Wellness Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients
Spinerx Scoliosis and Spine Rehab, LLC Physical Therapist PastSince Jan 1, 2020 Accepting new patients
Mosaic Inc Past Accepting new patients
Procare Physical Therapy Inc Physical Therapist Past Accepting new patients
Vitalimd, PC Past Accepting new patients

Locations

1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018

1225 Eureka Way
#B
Redding, CA 96001
Phone (530) 247-1280

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

6325 Jackrabbit Ln
Ste A
Belgrade, MT 59714
Phone (406) 388-4988

117 E Oak St
Ste 1A
Bozeman, MT 59715
Phone (406) 404-6110

2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388

1564 Route 507
#C
Greentown, PA 18426
Phone (570) 676-0700

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1134523491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 ROUTE 507 STE C",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264502",
            "telephone_number": "570-676-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Eureka Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010815",
            "country_code": "US",
            "telephone_number": "530-247-1280",
            "fax_number": "530-247-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECSKES",
        "first_name": "BETHANY ANNE",
        "middle_name": "JUTZY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "JUTZY",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.

Verify at the official NPI Registry.