Active NPI
Beth A Johnsey, PT
- Physical Therapist
- Cody, WY
National Provider Identifier
1497734248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT210
- Practice address
- 1819 Sheridan Ave
Cody, WY 82414-3886 - Phone
- (307) 587-9866
- Fax
- (307) 587-9867
- NPI assigned
- Jan 11, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT210 | WY | Primary |
Addresses
Primary practice location
1819 Sheridan Ave
Cody, WY 82414-3886
Mailing address
PO Box 1750
Cody, WY 82414-1750
Phone (307) 587-9866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102379902 | Medicaid | WY | |
| 308040 | Other | WY | BLUE CROSS BLUE SHIELD |
Other names 1
- Beth A Miller
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 |
|---|---|---|---|
| 210 | WY | MD | Mental Health Counselor |
| PT210 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients | |
| William H and Carrie Gottsche Foundation | Past | Accepting new patients | |
| James G Randolph MD | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
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- NPI 1558319392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1497734248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1750",
"city": "CODY",
"state": "WY",
"postal_code": "824141750",
"telephone_number": "307-587-9866",
"fax_number": "307-587-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 SHERIDAN AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143886",
"telephone_number": "307-587-9866",
"fax_number": "307-587-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSEY",
"first_name": "BETH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102379902",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "308040",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "MILLER",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.