Active NPI
Bethany Perkins
- Pediatric Physical Therapist
- Campbellsville, KY
National Provider Identifier
1326435637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 005957
- Practice address
- 121 Casey St Ste a
Campbellsville, KY 42718-6858 - Phone
- (270) 465-7768
- NPI assigned
- Apr 24, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 005957 | KY | Primary |
Addresses
Primary practice location
121 Casey St Ste a
Campbellsville, KY 42718-6858
Mailing address
121 Casey St Ste a
Campbellsville, KY 42718-6858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005957 | Other | KY | KY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005957 | KY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1326435637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CASEY ST STE A",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427186858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CASEY ST STE A",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427186858",
"telephone_number": "270-465-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "BETHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "KY",
"license": "005957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY LICENSE",
"identifier": "005957",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.