Active NPI
Beth Renee Ray, P.T.
- Physical Therapist
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19333
- Practice address
- 398 Olympia Drive
Maryville, TN 37804 - Phone
- (865) 233-1080
- Fax
- (865) 233-1081
- NPI assigned
- Oct 13, 2005
- Last updated
- Nov 8, 2016
- 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 | PT19333 | FL | Primary |
Addresses
Primary practice location
398 Olympia Drive
Maryville, TN 37804
Mailing address
398 Olympia Drive
Maryville, TN 37804
Phone (865) 233-1080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4011 | Other | FL | STAYWELL |
| Y909J | Other | FL | BCBS PROVIDER NUMBER |
| 27001 | Other | FL | WELLCARE PROVIDER |
| 2288818 | Other | FL | AETNA PROVIDER NUMBER |
Other names 1
- Beth Renee Denton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19333 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Therapy Plus LLC | Past | Accepting new patients | |
| Medical Arts Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Bay Area Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849
9649 Westland Dr
Knoxville, TN 37922
Phone (865) 223-6422
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Knoxville, TN
- NPI 1841561446
-
- Physical Therapist
- Clinton, TN
- NPI 1376073262
-
- Physical Therapist
- Knoxville, TN
- NPI 1306454558
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapy Clinic/Center
- Knoxville, TN
- NPI 1033737689
-
dba Bay Area Physical Therapy
- Physical Therapy Clinic/Center
- Bradenton, FL
- NPI 1871582742
Physical Therapist
-
- Physical Therapist
- Palmetto, FL
- NPI 1730164286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1306835251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 OLYMPIA DRIVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "37804",
"telephone_number": "865-233-1080",
"fax_number": "865-233-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 OLYMPIA DRIVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "37804",
"telephone_number": "865-233-1080",
"fax_number": "865-233-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "BETH",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "4011",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "Y909J",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PROVIDER",
"identifier": "27001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2288818",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "DENTON",
"middle_name": "RENEE",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.