Active NPI
Bethany R Wheeler, CO, CFM, LOPED
- Orthotist
- Bryant, AR
National Provider Identifier
1639807118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OPP00176
- Practice address
- 611 Office Park Dr Ste 3
Bryant, AR 72022-7516 - Phone
- (501) 508-2227
- NPI assigned
- Aug 11, 2022
- Last updated
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OPP00176 | AR | Primary |
Addresses
Primary practice location
611 Office Park Dr Ste 3
Bryant, AR 72022-7516
Mailing address
611 Office Park Dr Ste 3
Bryant, AR 72022-7516
Phone (501) 508-2227
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPP00176 | AR | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Appliance Co Inc | Orthotist | Current | Accepting new patients |
Locations
611 Office Park Dr
Ste 3
Bryant, AR 72022
Phone (501) 508-2227
Organizations & group practices 1
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": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1639807118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 OFFICE PARK DR STE 3",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227516",
"telephone_number": "501-508-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 OFFICE PARK DR STE 3",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227516",
"telephone_number": "501-508-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "BETHANY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "CO, CFM, LOPED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "AR",
"license": "OPP00176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.