Active NPI
Bethany Jean Mosher, DPT
- Physical Therapist
- Waterville, ME
National Provider Identifier
1659703965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4196
- Practice address
- 234 College Ave
Waterville, ME 04901-6226 - Phone
- (207) 873-5503
- NPI assigned
- Aug 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022924 | PA | |
| Physical Therapist | 225100000X | PT4196 | ME | Primary |
Addresses
Primary practice location
234 College Ave
Waterville, ME 04901-6226
Mailing address
234 College Ave
Waterville, ME 04901-6226
Phone (207) 873-5503
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1659703965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 COLLEGE AVE",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016226",
"telephone_number": "207-873-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 COLLEGE AVE",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016226",
"telephone_number": "207-873-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHER",
"first_name": "BETHANY",
"middle_name": "JEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022924",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.