Individual provider Active NPI

Bethany Pirtle, DPT, PT, ATC, LAT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1972113769
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
801 N Broom St
Wilmington, DE 19806-4624
Phone
(302) 654-8400
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Athletic Trainer 2255A2300X RT006607 PA

Addresses

Primary practice location

801 N Broom St
Wilmington, DE 19806-4624

Mailing address

3360 Chichester Ave Apt M06
Upper Chichester, PA 19061-3220
Phone (717) 712-3463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729003580 PA Practitioner - Physical Therapist in Private Practice 3375946270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1925 W Turner St
Allentown, PA 18104-5513
Phone (610) 794-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RT006607PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Corporate & Community Based Services CurrentSince Jul 1, 2021 Accepting new patients
Phoebe Corporate and Community Based Services Inc Current Accepting new patients
Phoebe Corporate & Community Based Services CurrentSince Jul 1, 2021 Accepting new patients

Locations

1925 W Turner St
Allentown, PA 18104
Phone (610) 794-5075

Organizations & group practices 3

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1972113769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 CHICHESTER AVE APT M06",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190613220",
            "telephone_number": "717-712-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BROOM ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064624",
            "telephone_number": "302-654-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRTLE",
        "first_name": "BETHANY",
        "credential": "DPT, PT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.