Individual provider Active NPI

Melinda Bethune, PTA

  • Physical Therapy Assistant
  • Kernersville, NC
National Provider Identifier
1720697337
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A7258 Issued in NC
Practice address
1130D Snow Bridge LN
Kernersville, NC 27284-8411
Phone
(336) 904-0467
Fax
(336) 497-3072
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A7258 NC Primary

Addresses

Primary practice location

1130D Snow Bridge LN
Kernersville, NC 27284-8411

Mailing address

1130D Snow Bridge LN
Kernersville, NC 27284-8411
Phone (336) 904-0467

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
A7258NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Propel Pediatric Therapy PastSince Aug 2, 2020 Accepting new patients
Propel Pediatric Therapy PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 2

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1720697337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130D SNOW BRIDGE LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848411",
            "telephone_number": "336-904-0467",
            "fax_number": "336-497-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130D SNOW BRIDGE LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848411",
            "telephone_number": "336-904-0467",
            "fax_number": "336-497-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHUNE",
        "first_name": "MELINDA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A7258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.