Active NPI
Bethany Marie Pressley, PTA
- Physical Therapy Assistant
- Birmingham, AL
National Provider Identifier
1881914109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2617
- Practice address
- 3125 Independence Dr
300B
Birmingham, AL 35209-4159 - Phone
- (205) 879-7501
- Fax
- (205) 879-0675
- NPI assigned
- Jun 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2617 | AL | Primary |
Addresses
Primary practice location
3125 Independence Dr
300B
Birmingham, AL 35209-4159
Mailing address
3125 Independence Dr
300B
Birmingham, AL 35209-4159
Phone (205) 879-7501
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-07722 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| PTA5871 | Other | AL | STATE LICENSE NO |
| 2617 | Other | AL | TEMPORARY STATE LICENSE |
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 |
|---|---|---|---|
| 2617 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1881914109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 INDEPENDENCE DR",
"address_2": "300B",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094159",
"telephone_number": "205-879-7501",
"fax_number": "205-879-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 INDEPENDENCE DR",
"address_2": "300B",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094159",
"telephone_number": "205-879-7501",
"fax_number": "205-879-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESSLEY",
"first_name": "BETHANY",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "2617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "511-07722",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NO",
"identifier": "PTA5871",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMPORARY STATE LICENSE",
"identifier": "2617",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.