Active NPI
Bethany J. Prater, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Brewster, NY
National Provider Identifier
1821402074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 285691
- Practice address
- 1456 Ny-22
A002
Brewster, NY 10509 - Phone
- (845) 303-5041
- NPI assigned
- Jun 16, 2014
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 285691 | NY | Primary |
Addresses
Primary practice location
1456 Ny-22
A002
Brewster, NY 10509
Mailing address
26 Kuchler Dr
Lagrangeville, NY 12540-5513
Phone (917) 523-0245
Other practice location 1
26 Kuchler Dr
Lagrangeville, NY 12540-5513
Phone (845) 303-5041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 25, 2016 through Aug 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285691 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1821402074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 KUCHLER DR",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405513",
"telephone_number": "917-523-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 NY-22",
"address_2": "A002",
"city": "BREWSTER",
"state": "NY",
"postal_code": "10509",
"telephone_number": "845-303-5041"
}
],
"practiceLocations": [
{
"address_1": "26 Kuchler Dr",
"address_purpose": "LOCATION",
"city": "Lagrangeville",
"state": "NY",
"postal_code": "125405513",
"country_code": "US",
"telephone_number": "845-303-5041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATER",
"first_name": "BETHANY",
"middle_name": "J.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2024-04-23",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "285691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, NY
- Samantha Joann Placido, RN
- Rosann L Posa, DSW
- Ursula C Potkay
- Elizabeth Anne Potts, MSOT, OTR/L
- Jeffrey Joseph Pracella, D.C.
- Putnam Bright Smile Dentistry, PC
- Putnam Cardio Pulmonary Services, P.C.
- Putnam County Department of Health
- Putnam County Department of Health, Early Intervention Dept.
- Putnam County Department of Health, Early Intervention Program
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.