Bethany Nicole Light, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12660 Issued in SC

Practice address

2475 Broad St
Sumter, SC 29150-1820

Phone

(803) 934-8470

Fax

(803) 934-8457

NPI assigned

Jul 9, 2024

Last updated

Jan 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novant Health Physical Therapy LLC

  dba Novant Health Physical Therapy

  • Physical Therapist
  • Port Royal, SC
  • NPI 1376379818

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1457198335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S PITTSBURG AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728027477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501820",
            "telephone_number": "803-934-8470",
            "fax_number": "803-934-8457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 6th St SE",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "ND",
            "postal_code": "587844444",
            "country_code": "US",
            "telephone_number": "701-628-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "BETHANY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "CP031858T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP026561T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Advocates Group LLC
• Life Enhancement Services
• Life Net Medical Transport
• Lifeline Senior Services
• Lifeway Counseling LLC
• Lighthouse Anesthesiology of South Carolina, PA
• Usah Lilavivat, MD
• Camille Lin, MD
• Lincare Inc
• Lincare Inc

• Physical Therapist in Sumter, SC
• Providers in Sumter, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.

Verify at the official NPI Registry.