Bethany Marion

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2174117 Issued in TX

Practice address

4601 Old Jacksboro Hwy
Wichita Falls, TX 76302-2921

Phone

(940) 343-5543

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1417663709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD JACKSBORO HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022921",
            "telephone_number": "940-343-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD JACKSBORO HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022921",
            "telephone_number": "940-343-5543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6212 Dalford Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173302",
            "country_code": "US",
            "telephone_number": "334-261-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARION",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AL",
            "license": "7727",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA7727",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2174117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamael Marcelle, MS, LPC
• Adam Roland Marchand, PHYSICAL THERAPIST
• Stefanie Janine Marco, MD
• Margory a Cantrell Ma LPC PLLC
• Rebecca Ashley Marin, LVN
• Heather Markham
• Kendra Leigh Maroney, SLP
• Charlotte Marsh, LMFT
• Elizabeth Hope Marshall
• Kathy Gaye Marshall

• Physical Therapy Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.