Bethany Eicholtz

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT40761 Issued in FL

Practice address

2626 36TH Ave N
St Petersburg, FL 33713-1728

Phone

(239) 938-4923

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1306745906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 36TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 36TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131728",
            "telephone_number": "239-938-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHOLTZ",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT40761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehra Medical Services of Florida LLC
• David Aaron Eichenbaum, M.D.
• Mark Samuel Eichenbaum, M.D.
• Mary Jane Eicher, D.O.
• Erin Fink Eichhorn, M.S., C.G.C.
• Robert Eichorst
• Sarah-Marie Eid, OD
• Eight Winds Wellness, LLC
• Katherine Eisenberg
• Mayer Michael Eisenfeld, M.D.

• Pediatric Physical Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.