Bethaney Nielsen, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

7432 Issued in SC

Practice address

1208 Village Creek LN Apt 3
Mt Pleasant, SC 29464-6105

Phone

(931) 237-6560

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bethaney Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Villages Child Development, LLC

  • Pediatric Physical Therapist
  • Columbia, TN
  • NPI 1447886122

  Pediatrics

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1922417690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 VILLAGE CREEK LN APT 3",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646105",
            "telephone_number": "931-237-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 VILLAGE CREEK LN APT 3",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646105",
            "telephone_number": "931-237-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "BETHANEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "7432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANEY",
            "last_name": "FULLER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NH VCN Virtual Primary Care LLC (Novant Health Virtual Primary Care)
• Amber Joy Nicholson, PTA
• Jacqueline Nickel, MS CCC SLP
• Jena W. Nickles, PA
• Nicole Dahlkemper, DMD, PC
• Hailey G Nies, SLP
• Nirvana Wellness (Atlas Spine and Wellness Care)
• Meghan Patton Nix, PA-C
• Melody K Nix, PHARMD
• Shannon M Noble, MD

• Pediatric Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.