Active NPI
Bethany Fitzgerald, DPT
- Occupational Therapist
- Barstow, CA
National Provider Identifier
1376904474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16085
- Practice address
- 1815 E Main St
Barstow, CA 92311-3234 - Phone
- (760) 256-2800
- NPI assigned
- Mar 16, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16085 | CA | Primary |
Addresses
Primary practice location
1815 E Main St
Barstow, CA 92311-3234
Mailing address
330 Franklin Rd
Ste 135a-102
Brentwood, TN 37027-3280
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16085 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPM Rebah, Inc | Past | Accepting new patients | |
| RPM Rehab, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Apple Valley, CA
- NPI 1508151945
-
- Physical Therapist
- Brentwood, TN
- NPI 1487088530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1376904474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 FRANKLIN RD",
"address_2": "STE 135A-102",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E MAIN ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113234",
"telephone_number": "760-256-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "BETHANY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.