Active NPI
Bethany Dawn Willhite, PT
- Physical Therapist
- Clayton, MO
National Provider Identifier
1306070339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 111650
- Practice address
- 7733 Forsyth Blvd
Clayton, MO 63105-1817 - Phone
- (800) 677-1202
- NPI assigned
- May 5, 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 | 111650 | MO | Primary |
Addresses
Primary practice location
7733 Forsyth Blvd
Clayton, MO 63105-1817
Mailing address
240 Paul Ave
Florissant, MO 63031-6240
Other names 1
- Beth Willhite
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.79 of 100
- Quality
- 82.48
- Improvement activities
- 40
- Cost
- 79.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Physical Therapy, Inc | Current | Accepting new patients | |
| Fox Rehabilitation Ga, LLC | Physical Therapist | Current | Accepting new patients |
Locations
7200 Hickory Flat Hwy
Woodstock, GA 30188
Phone (678) 619-2078
6884 Hickory Flat Hwy
Woodstock, GA 30188
Phone (770) 704-8244
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
- Atlanta, GA
- NPI 1023544624
-
- Physical Therapy Clinic/Center
- Woodstock, GA
- NPI 1083861785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1306070339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 PAUL AVE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630316240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 FORSYTH BLVD",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631051817",
"telephone_number": "800-677-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLHITE",
"first_name": "BETHANY",
"middle_name": "DAWN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "111650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "WILLHITE",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.