Bethel Gilmore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1939R Issued in LA

Practice address

204 E Saint Peter St
Carencro, LA 70520-4009

Phone

(337) 896-6686

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Agape Therapy LLC

  • Occupational Therapist
  • Broussard, LA
  • NPI 1760195283
  NPD
• Therapy Center of Jefferson Davis Parish, Inc

  • Physical Therapist
  • Jennings, LA
  • NPI 1508971045

  Physical Therapy Assistant

  NPD
• Physical Therapy Clinic of Carencro LLC

  • Physical Therapist
  • Carencro, LA
  • NPI 1669557906
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1508460593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705460849",
            "telephone_number": "337-824-8287",
            "fax_number": "337-824-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E SAINT PETER ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204009",
            "telephone_number": "337-896-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "BETHEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A1939R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Dollette Francis, RDN
• Eric Scott Fruge, P.T.
• Lexxi Nicole Gautreaux
• Susan D Gianfala, MS, CCC-SLP
• Kathy Gibson
• Ariel Regine Goodie
• Branda Goodie
• Grace & Hope Wellness Center
• Tori Spindler Griggs, PHARMD
• Christopher Joseph Guedry, M.D.

• All providers in Carencro, LA
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.