Bethany Marie Fonseca

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2300 21St St N
Texas City, TX 77590-5208

Phone

(409) 916-0300

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Adaptive Rehabilitation Clinics, LLC

  • Physical Therapist
  • Niles, OH
  • NPI 1568085579

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1316446503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 N OAK DR",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775398404",
            "telephone_number": "832-618-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 21ST ST N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905208",
            "telephone_number": "409-916-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7710 W Interstate 10",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782304711",
            "country_code": "US",
            "telephone_number": "210-377-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10435 Greenbough Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774775000",
            "country_code": "US",
            "telephone_number": "832-539-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Stewart Fleshman, D.D.S.
• Florence T. Jones
• Florence T. Jones HCS
• Monique Flores, RBT-19-92574
• Lori G Folse, OT
• Foot Doctors of Texas LLC
• Foot Doctors of Texas LLC
• Denna Roxanne Foreman, FNP
• Patricia Ann Forey, LVN
• Charisma Yovonne Franklin

• Speech-Language Pathologist in Texas City, TX
• Providers in Texas City, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.