Individual provider Active NPI

Bethany Ann Schully, P.T.

  • Physical Therapist
  • Gainesville, TX
National Provider Identifier
1306063433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1125656 Issued in TX
Practice address
1020 N Grand Ave
Gainesville, TX 76240-3524
Phone
(940) 665-3496
Fax
(940) 668-2875
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1125656 TX Primary

Addresses

Primary practice location

1020 N Grand Ave
Gainesville, TX 76240-3524

Mailing address

1020 N Grand Ave
Gainesville, TX 76240-3524
Phone (940) 665-3496

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1125656TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306063433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403524",
            "telephone_number": "940-665-3496",
            "fax_number": "940-668-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403524",
            "telephone_number": "940-665-3496",
            "fax_number": "940-668-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLY",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1125656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.