Individual provider Active NPI

Beth Ann Patterson, PT

  • Physical Therapist
  • Lutz, FL
National Provider Identifier
1215051776
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4616 Issued in FL
Practice address
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Phone
(727) 475-5540
Fax
(844) 213-8986
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 4616 FL Primary

Addresses

Primary practice location

21756 State Road 54 Ste 102
Lutz, FL 33549-2905

Mailing address

6023 Hammock Woods Dr
Odessa, FL 33556-3330
Phone (813) 920-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000337 FL Practitioner - Physical Therapist in Private Practice 8628103496 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

35095 US 19
Suite 101
Palm Harbor, FL 34684-1968
Phone (727) 475-5538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4616FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies Lakeland, LLC Physical Therapist CurrentSince Nov 9, 2017 Accepting new patients
Optimal Performance and Physical Therapies-Pinellas Park, LLC Physical Therapist CurrentSince Aug 1, 2014 Accepting new patients
Optimal Performance and Physical Therapies Trinity LLC Physical Therapist CurrentSince Mar 27, 2017 Accepting new patients
Optimal Performance and Physical Therapies Bradenton LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Optimal Performance and Physical Therapies-Brandon LLC Physical Therapist CurrentSince Dec 5, 2011 Accepting new patients
Optimal Performance and Physical Therapies Palm Harbor LLC Physical Therapist CurrentSince Jan 28, 2011 Accepting new patients
Optimal Performance and Physical Therapies-Lutz, LLC Physical Therapist CurrentSince Feb 3, 2014 Accepting new patients
Optimal Performance and Physical Therapies-Riverview, LLC Physical Therapist CurrentSince Apr 20, 2015 Accepting new patients
Optimal Performance and Physical Therapies Oldsmar, LLC Physical Therapist CurrentSince Jun 6, 2016 Accepting new patients
Optimal Performance and Physical Therapies-Clearwater, LLC Physical Therapist CurrentSince Dec 14, 2016 Accepting new patients
Optimal Performance and Physical Therapies Northdale LLC Physical Therapist CurrentSince Apr 5, 2010 Accepting new patients
Optimal Performance and Physical Therapies Wesley Chapel, LLC Physical Therapist CurrentSince Dec 4, 2017 Accepting new patients
Optimal Performance and Physical Therapies University LLC Physical Therapist CurrentSince May 3, 2010 Accepting new patients
Physiotherapy Associates Inc PastSince Nov 1, 2010 Accepting new patients
Optimal Performance and Physical Therapies Bayside LLC Physical Therapist Past Accepting new patients
Active Life Physical Therapy Physical Therapist PastSince Apr 30, 2003 Accepting new patients
Optimal Performance and Physical Therapies St. Petersburg, LLC Physical Therapist PastSince Jun 1, 2019 Accepting new patients

Locations

714 Manatee Ave E
Ste C
Bradenton, FL 34208
Phone (941) 932-8264

611 W Lumsden Rd
Brandon, FL 33511
Phone (813) 413-5513

612 Druid Rd E
Ste D
Clearwater, FL 33756
Phone (727) 475-5543

4525 S Florida Ave
Ste 25
Lakeland, FL 33813
Phone (863) 812-4065

8200 Bryan Dairy Rd
Ste 150
Largo, FL 33777
Phone (727) 550-0312

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

3180 Curlew Rd
Unit 102
Oldsmar, FL 34677
Phone (813) 343-4840

35095 US Highway 19 N
Ste 101
Palm Harbor, FL 34684
Phone (727) 475-5538

11375 Big Bend Rd
Riverview, FL 33579
Phone (813) 805-8167

3010 E 138th Ave
Ste 1
Tampa, FL 33613
Phone (813) 805-8102

3903 Northdale Blvd
Ste 111W
Tampa, FL 33624
Phone (813) 381-6778

11157 Trinity Blvd
Trinity, FL 34655
Phone (727) 645-4120

26830 Ridgebrook Dr
Ste 102
Wesley Chapel, FL 33544
Phone (813) 345-4915

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1215051776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 HAMMOCK WOODS DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563330",
            "telephone_number": "813-920-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54 STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "727-475-5540",
            "fax_number": "844-213-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.