Active NPI
Bettye Jo Johnson, PTA
- Physical Medicine & Rehabilitation Physician
- Raleigh, NC
National Provider Identifier
1821396185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 244
- Practice address
- 11200 Governor Manly Way, Suite 305
Orhopaedic Specialists of North Carolina, PA
Raleigh, NC 27614 - Phone
- (919) 562-9410
- Fax
- (919) 562-9425
- NPI assigned
- Mar 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 244 | NC | Primary |
Addresses
Primary practice location
11200 Governor Manly Way, Suite 305
Orhopaedic Specialists of North Carolina, PA
Raleigh, NC 27614
Mailing address
311 Riggsbee Farm Dr
Cary, NC 27519-7354
Phone (919) 319-0952
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 |
|---|---|---|---|
| 244 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1821396185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 RIGGSBEE FARM DR",
"city": "CARY",
"state": "NC",
"postal_code": "275197354",
"telephone_number": "919-319-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 GOVERNOR MANLY WAY, SUITE 305",
"address_2": "ORHOPAEDIC SPECIALISTS OF NORTH CAROLINA, PA",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27614",
"telephone_number": "919-562-9410",
"fax_number": "919-562-9425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BETTYE",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.