Active NPI
Diana L Betsworth, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1215190137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2682
- Practice address
- 6901 N 72ND St
Omaha, NE 68122-1709 - Phone
- (402) 572-2121
- NPI assigned
- Jul 10, 2008
- Last updated
- Feb 15, 2009
- 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 | 2682 | NE | Primary |
Addresses
Primary practice location
6901 N 72ND St
Omaha, NE 68122-1709
Mailing address
6901 N 72ND St
Omaha, NE 68122-1709
Phone (402) 572-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08776 | Other | NE | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2682 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234656000000",
"number": "1215190137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221709",
"telephone_number": "402-572-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221709",
"telephone_number": "402-572-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETSWORTH",
"first_name": "DIANA",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2009-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08776",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.