Active NPI
Betsy Anne Gravel, PTA
- Physical Therapy Assistant
- Scottsdale, AZ
National Provider Identifier
1730232729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0094A
- Practice address
- 8115 E Indian Bend Rd
Suite 123
Scottsdale, AZ 85250-4819 - Phone
- (480) 951-6451
- NPI assigned
- Jan 21, 2007
- Last updated
- Jul 8, 2007
- 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 Therapy Assistant | 225200000X | 0094A | AZ | Primary |
Addresses
Primary practice location
8115 E Indian Bend Rd
Suite 123
Scottsdale, AZ 85250-4819
Mailing address
4501 N Agua Fria Dr
Prescott Valley, AZ 86314-5400
Phone (928) 775-9276
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 |
|---|---|---|---|
| 0094A | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730232729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 N AGUA FRIA DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863145400",
"telephone_number": "928-775-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 E INDIAN BEND RD",
"address_2": "SUITE 123",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504819",
"telephone_number": "480-951-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVEL",
"first_name": "BETSY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "0094A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.