Active NPI
Bethany Diane Adler, DPT
- Pediatric Physical Therapist
- Nixa, MO
National Provider Identifier
1215227954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2009016957
- Practice address
- 1005 Yellowstone St
Nixa, MO 65714-8671 - Phone
- (913) 980-7413
- NPI assigned
- Apr 14, 2011
- Last updated
- Apr 14, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2009016957 | MO | Primary |
Addresses
Primary practice location
1005 Yellowstone St
Nixa, MO 65714-8671
Mailing address
1005 Yellowstone St
Nixa, MO 65714-8671
Phone (913) 980-7413
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 |
|---|---|---|---|
| 2009016957 | MO | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1215227954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 YELLOWSTONE ST",
"city": "NIXA",
"state": "MO",
"postal_code": "657148671",
"telephone_number": "913-980-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 YELLOWSTONE ST",
"city": "NIXA",
"state": "MO",
"postal_code": "657148671",
"telephone_number": "913-980-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "BETHANY",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MO",
"license": "2009016957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.