Bethanie Lashea Rose, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

262 Cherokee Professional Park
Maryville, TN 37804-5153

Phone

(865) 980-0030

NPI assigned

May 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557619200000",
    "number": "1679139059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 PARK AVE",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373545206",
            "telephone_number": "423-836-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045153",
            "telephone_number": "865-980-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BETHANIE",
        "middle_name": "LASHEA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-12",
        "last_updated": "2019-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Aaron Romans, D.O.
• Heather Romans, FNP-C
• Paul D Rook, MS, CCC
• Rooted Physical Therapy & Performance PLLC
• Jessica Rop, FNP
• Brenton Rosen, FNP-BC
• Ellen Marie Rossano
• Bethany Roth
• Natalie Rothstein Martinez, OT
• Eugene Peter Runne, D.C.

• Physical Therapy Assistant in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2019; 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.