Individual provider Active NPI

Bethany Sealy, PT, DPT, CLT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1740761527
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20456 Issued in NC
Practice address
1918 Randolph Rd Ste 175
Charlotte, NC 28207-1107
Phone
(704) 316-1900
NPI assigned
Aug 28, 2018
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PT33783FLMDPhysical Therapist
P100244ENCMDPhysical Therapist
P20456NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Works LLC Physical Therapist PastSince Dec 29, 2018 Accepting new patients
Rick Edward St. George Physical Therapist PastSince May 1, 2021 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.

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.

Verify at the official NPI Registry.