Bethany Lynn Everson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007036 Issued in OH

Practice address

8849 Whitney Dr
Lewis Center, OH 43035-7107

Phone

(614) 679-4885

NPI assigned

Jun 13, 2020

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic Advantage IncGroup PAC ID 0143283655, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athletic Advantage, Inc

  • Orthopedic Physical Therapist
  • Lewis Center, OH
  • NPI 1336341973
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1700401940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 NATHAN DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657483",
            "telephone_number": "614-679-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 WHITNEY DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357107",
            "telephone_number": "614-679-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Abel Ellwood, D.C.
• Empower Physio and Wellness, LLC
• Eric P Buck DDS Lewis Center LLC
• Essential Essence Home Care LLC
• Evans Farm Family Eye Care, LLC
• Eyeshop Optical Center LLC
• Tracy Faiella, OTR/L
• Fami Group
• Far Reach Foundation
• Roopan Elizabeth Farris, MD

• Physical Therapist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.