Active NPI
Bethany Nelson PT DPT LLC
- Physical Therapist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BETHANY NELSON PT DPT LLC
- Practice address
- 313 Dividend Dr Ste 300
Peachtree City, GA 30269-1934 - Phone
- (404) 488-5342
- NPI assigned
- Dec 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bethany Lynn Nelson, PT, DPT
- Title
- Physical Therapist/Owner
- Phone
- (404) 488-5342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
313 Dividend Dr Ste 300
Peachtree City, GA 30269-1934
Mailing address
526 Brooks Woolsey Rd
Fayetteville, GA 30215-7030
Phone (404) 488-5342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Bethany Nelson PT DPT LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Prosthetic and Orthotic Therapy Specialists
- Physical Therapist
- Murfreesboro, TN
- NPI 1043141591
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1417765447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 BROOKS WOOLSEY RD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302157030",
"telephone_number": "404-488-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 DIVIDEND DR STE 300",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691934",
"telephone_number": "404-488-5342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY NELSON PT DPT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-22",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "BETHANY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "404-488-5342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.