Individual provider Active NPI

Isabel Virginia Beteta

  • Physical Therapist
  • High Point, NC
National Provider Identifier
1639069271
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24276 Issued in NC
Practice address
3935 Brian Jordan PL Ste 119
High Point, NC 27265-8036
Phone
(336) 885-0440
NPI assigned
Jul 7, 2025
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24276 NC Primary

Addresses

Primary practice location

3935 Brian Jordan PL Ste 119
High Point, NC 27265-8036

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

997 Old US Hwy 70 W
Black Mountain, NC 28711-2665
Phone (828) 669-6896

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829000082 NC Practitioner - Physical Therapist in Private Practice 5395246508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Mountain Physical Therapy LLCGroup PAC ID 4385896349, 10 clinicians

Practice addresses (Care Compare)

997 Old US 70
Suite D
Black Mountain, NC 28711-4505
Phone (828) 669-6896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24276NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Mountain Physical Therapy, LLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Swannanoa Valley Counseling, PLLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

8215 W 108th Ter
Overland Park, KS 66210

997 Old US Hwy 70 W
Black Mtn, NC 28711
Phone (828) 275-7981

997 Old US Hwy 70 W
Ste D
Black Mtn, NC 28711
Phone (828) 669-6896

2000 Westinghouse Dr
Ste 200
Cranberry Twp, PA 16066
Phone (724) 584-5739

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1639069271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 BRIAN JORDAN PL STE 119",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658036",
            "telephone_number": "336-885-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "997 Old US Hwy 70 W",
            "address_purpose": "LOCATION",
            "city": "Black Mountain",
            "state": "NC",
            "postal_code": "287112665",
            "country_code": "US",
            "telephone_number": "828-669-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETETA",
        "first_name": "ISABEL",
        "middle_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.