Bethany Marie Patterson, PT, DPT – Physical Therapist

Key facts

NPI: 1497003404
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 4563 (OK)
Practice address: 902 E Lincoln Rd
Idabel, OK 74745-7337
Phone: (580) 286-2600
NPI assigned: Aug 22, 2012
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Choctaw Nation of Oklahoma Rural Acute Care Hospital · Talihina, OK · NPI 1659347623

Medicare reassignment NPD TX
Choctaw Nation of Oklahoma Primary Care Clinic/Center · Hugo, OK · NPI 1174599088

NPD
Choctaw Nation of Oklahoma Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Broken Bow, OK · NPI 1447143532

NPD
Choctaw Nation of Oklahoma Primary Care Clinic/Center · Broken Bow, OK · NPI 1770559619

NPD (past)

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score: 77.07 of 100 (group)
Quality: 73.06
Improvement activities: 40
Cost: 69.92

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230322002818	TX	Practitioner - Physical Therapist in Private Practice	0648644260	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Status	New patients
Choctaw Nation of Oklahoma	Current	Accepting new patients
Choctaw Nation of Oklahoma	Current since Oct 14, 2022	Accepting new patients
Choctaw Nation of Oklahoma	Current since Oct 14, 2022	Accepting new patients
Choctaw Nation of Oklahoma	Past	Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	4563	OK	Yes

Addresses

Primary practice location

902 E Lincoln Rd
Idabel, OK 74745-7337

Mailing address

902 E Lincoln Rd
Idabel, OK 74745-7337
Phone (580) 286-2600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2013.

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1497003404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457337",
            "telephone_number": "580-286-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457337",
            "telephone_number": "580-286-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

All providers in Idabel, OK · Physical Therapist in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.