Active NPI
Bethany Sealy, PT, DPT, CLT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1740761527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20456
- Practice address
- 1918 Randolph Rd Ste 175
Charlotte, NC 28207-1107 - Phone
- (704) 316-1900
- NPI assigned
- Aug 28, 2018
- Last updated
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P100244E | NC | |
| Physical Therapist | 225100000X | PT33783 | FL | |
| Physical Therapist | 225100000X | P20456 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd Ste 175
Charlotte, NC 28207-1107
Mailing address
1918 Randolph Rd Ste 175
Charlotte, NC 28207-1107
Other practice location 1
12301 Lake Underhill Rd Ste 118
Orlando, FL 32828-4510
Phone (407) 218-4660
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bsealy@novanthealth.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33783 | FL | MD | Physical Therapist |
| P100244E | NC | MD | Physical Therapist |
| P20456 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Works LLC | Physical Therapist | Past | Accepting new patients |
| Rick Edward St. George | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St George Physical Therapy
- Physical Therapist
- Charlotte, NC
- NPI 1952406191
-
- Physical Therapist
- Orlando, FL
- NPI 1659318293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1740761527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 175",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 175",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071107",
"telephone_number": "704-316-1900"
}
],
"practiceLocations": [
{
"address_1": "12301 Lake Underhill Rd Ste 118",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328284510",
"country_code": "US",
"telephone_number": "407-218-4660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEALY",
"first_name": "BETHANY",
"credential": "PT, DPT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P100244E",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33783",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20456",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "bsealy@novanthealth.org",
"affiliation": "N",
"address_1": "1918 Randolph Rd Ste 175",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.