Bethany Debra Kolwich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

374 Bluefish Dr Unit 3a
Fort Walton Beach, FL 32548-6108

Phone

(715) 495-6183

NPI assigned

Apr 28, 2025

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

Other names 1

• Dr. Bethany Debra Karker Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Therapy Group LLCGroup PAC ID 6305258013, 69 clinicians

Practice addresses (Care Compare)

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.

• Action Therapy Group LLC

  • Physical Therapist
  • Jay, FL
  • NPI 1548861602
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1356139687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 BLUEFISH DR UNIT 3A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 BLUEFISH DR UNIT 3A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486108",
            "telephone_number": "715-495-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLWICH",
        "first_name": "BETHANY",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "KARKER",
            "middle_name": "DEBRA",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Kleimeyer, D.O.
• Hannah Kloosterman, PT, DPT
• Keith Anthony Knigge, D.O.
• Alexander J Knurr, MD
• Samantha Rose Kolios, APRN
• Netzna Kondrashevich, SLP
• Anatoliy Korzhuk, MD
• Travis Kostello
• Pallavi Kothapalli, PHARM.D
• Breanne Morgan Kothe, DO

• Physical Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.