Active NPI
Bethany Diehl, PT, DPT, GCS
- Geriatric Physical Therapist
- Medford, OR
National Provider Identifier
1659778041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 06365
- Practice address
- 691 Murphy Rd
Medford, OR 97504-4346 - Phone
- (541) 414-1800
- NPI assigned
- Dec 1, 2014
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 06365 | OR | Primary |
Addresses
Primary practice location
691 Murphy Rd
Medford, OR 97504-4346
Mailing address
3 Mill Run
Rensselaer, NY 12144-9699
Phone (301) 471-4074
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 |
|---|---|---|---|
| 06365 | OR | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1659778041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MILL RUN",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121449699",
"telephone_number": "301-471-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 MURPHY RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044346",
"telephone_number": "541-414-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "BETHANY",
"credential": "PT, DPT, GCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "OR",
"license": "06365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.