Active NPI
Bethany Deer, DPT
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1275916173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11326
- Practice address
- 6 Greenwich Office Park
Greenwich, CT 06831-5151 - Phone
- (203) 869-1145
- Fax
- (203) 618-1721
- NPI assigned
- Jul 9, 2015
- 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 | 11326 | CT | Primary |
Addresses
Primary practice location
6 Greenwich Office Park
Greenwich, CT 06831-5151
Mailing address
6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Adesa Blvd
Suite A140
Lenoir City, TN 37771-6720
Phone (865) 333-1461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Spine & Sport Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
4905 N Broadway St
Knoxville, TN 37918
Phone (865) 689-8299
501 Adesa Blvd
Ste A140
Lenoir City, TN 37771
Phone (865) 333-1461
Organizations & group practices 2
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1023101144
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1275916173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GREENWICH OFFICE PARK",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315151",
"telephone_number": "203-869-1145",
"fax_number": "203-618-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GREENWICH OFFICE PARK",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315151",
"telephone_number": "203-869-1145",
"fax_number": "203-618-1721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEER",
"first_name": "BETHANY",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "11326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.