Angela Bethune

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

15930 Issued in CA

Practice address

2625 N Lima Center Rd
Dexter, MI 48130-9559

Phone

(760) 421-2246

NPI assigned

Dec 2, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2022.

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1306556089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N LIMA CENTER RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N LIMA CENTER RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309559",
            "telephone_number": "760-421-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHUNE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "15930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Begeman
• Aleksandr Belakovskiy, M.D.
• Thomas Lee Bennett
• Bep Medical Group PLLC
• Ennis Berker, PH.D.
• Radhika Anirudh Bhagat, PT
• Marcia Aileen Bockbrader, MD PHD
• Margaret Mary Bouwkamp, SLP
• Boyce DC PLLC
• Alan Stephen Boyce, DC

• All providers in Dexter, MI
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.