Active NPI
Bethany Rose Hermes, PT DPT
- Physical Therapist
- Bismarck, ND
National Provider Identifier
1720484348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1758
- Practice address
- 900 E Broadway Ave
Bismarck, ND 58501-4520 - Phone
- (701) 530-8200
- NPI assigned
- Nov 10, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1758 | ND | Primary |
Addresses
Primary practice location
900 E Broadway Ave
Bismarck, ND 58501-4520
Mailing address
900 E Broadway Ave
Bismarck, ND 58501-4520
Other names 1
- Bethany Fogarty
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 |
|---|---|---|---|
| 1758 | ND | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1720484348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014520",
"telephone_number": "701-530-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMES",
"first_name": "BETHANY",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "PT DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "FOGARTY",
"credential": "PT DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.