Individual provider Active NPI

Bethany Janece Cabell, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1568591568
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1145555 Issued in TX
Practice address
22211 W Ih 10 Ste 1206
San Antonio, TX 78257-1742
Phone
(210) 888-0368
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 550105740 MI
Physical Therapist 225100000X 1145555 TX Primary

Addresses

Primary practice location

22211 W Ih 10 Ste 1206
San Antonio, TX 78257-1742

Mailing address

22211 W Ih 10 Ste 1206
San Antonio, TX 78257-1742
Phone (210) 888-0368

Other identifiers 1

IdentifierTypeStateIssuer
0C90457OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Bethany Benke Former name

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

LicenseStateTypeSpecialty
550105740MIMDPhysical Therapist
1145555TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568591568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22211 W IH 10 STE 1206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571742",
            "telephone_number": "210-888-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22211 W IH 10 STE 1206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571742",
            "telephone_number": "210-888-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABELL",
        "first_name": "BETHANY",
        "middle_name": "JANECE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "550105740",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1145555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0C90457",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "BENKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.