Individual provider Active NPI

Bethany Overstreet

  • Massage Therapist
  • Lexington, KY
National Provider Identifier
1700654027
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
245906 Issued in KY
Practice address
1716 Sharkey Way Ste 200
Lexington, KY 40511-2096
Phone
(270) 775-3994
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 245906 KY Primary

Addresses

Primary practice location

1716 Sharkey Way Ste 200
Lexington, KY 40511-2096

Mailing address

111 Water Marq Path Apt 1042
Georgetown, KY 40324-8316
Phone (270) 775-3994

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

LicenseStateTypeSpecialty
245906KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Work Massage LLC Massage Therapist CurrentSince Dec 24, 2023 Accepting new patients

Locations

1716 Sharkey Way
Ste 200
Lexington, KY 40511
Phone (270) 775-3994

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1700654027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WATER MARQ PATH APT 1042",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248316",
            "telephone_number": "270-775-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 SHARKEY WAY STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112096",
            "telephone_number": "270-775-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "245906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.