Active NPI
Beth Lynelle Panwitz, PT
- Physical Therapist
- Muncie, IN
National Provider Identifier
1912114422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009947A
- Practice address
- 3607 N Everbrook LN
Muncie, IN 47304-5220 - Phone
- (765) 741-8390
- Fax
- (765) 741-8219
- NPI assigned
- May 16, 2007
- 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 Therapist | 225100000X | 05009947A | IN | Primary |
Addresses
Primary practice location
3607 N Everbrook LN
Muncie, IN 47304-5220
Mailing address
3607 N Everbrook LN
Muncie, IN 47304-5220
Phone (765) 741-8390
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1912114422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 N EVERBROOK LN",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045220",
"telephone_number": "765-741-8390",
"fax_number": "765-741-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 N EVERBROOK LN",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045220",
"telephone_number": "765-741-8390",
"fax_number": "765-741-8219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANWITZ",
"first_name": "BETH",
"middle_name": "LYNELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009947A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.