Active NPI
Clarice Nicole Bechtle, P.T.A., M.T.
- Massage Therapist
- Harriman, NY
National Provider Identifier
1790091379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14699
- Practice address
- 17 Emma LN
Harriman, NY 10926-3323 - Phone
- (845) 283-1914
- NPI assigned
- Aug 20, 2010
- Last updated
- Jul 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3798-1 | NY | |
| Massage Therapist | 225700000X | 14699 | NY | Primary |
Addresses
Primary practice location
17 Emma LN
Harriman, NY 10926-3323
Mailing address
PO Box 392
Harriman, NY 10926-0392
Phone (845) 283-1914
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3798-1 | NY | MD | Physical Therapy Assistant |
| 14699 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1790091379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392",
"city": "HARRIMAN",
"state": "NY",
"postal_code": "109260392",
"telephone_number": "845-283-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 EMMA LN",
"city": "HARRIMAN",
"state": "NY",
"postal_code": "109263323",
"telephone_number": "845-283-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECHTLE",
"first_name": "CLARICE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "P.T.A., M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "3798-1",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "14699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harriman, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.