KIRSTEN BETHANCOURT (NPI# 1265969943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265969943 |
| Entity Type | Individual |
| Full Name | KIRSTEN BETHANCOURT |
| Credential | DPT |
| Practice Address |
4600 E Shea Blvd Suite 101 Phoenix AZ 85028-6024 |
| Practice Telephone | 6023688601 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
12869 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4600 E SHEA BLVD SUITE 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-6024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821041344 | Therapy Time | Specialist/Technologist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2006-05-18 |
| 1275064404 | Hannah Brennan | Occupational Therapist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2017-03-21 |
| 1336689140 | Southwest Center for Oral Surgery, Pllc | Dentist | 4600 E Shea Blvd, #201, Phoenix, AZ 85028-6024 | 2017-02-27 |
| 1396287280 | Samantha Bookland Counseling, LLC | Counselor | 4600 E Shea Blvd, Phoenix, AZ 85028-6024 | 2016-11-09 |
| 1285091694 | Ashley Marie Adams | Speech-Language Pathologist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2016-01-15 |
| 1467825273 | Skylar Elena Stiff | Speech-Language Pathologist | 4600 E Shea Blvd, Unit 101, Phoenix, AZ 85028-6024 | 2015-11-03 |
| 1336524255 | Kellie Wright | Speech-Language Pathologist | 4600 E Shea Blvd, #101, Phoenix, AZ 85028-6024 | 2015-07-21 |
| 1780068387 | Ashley Routh | Physical Therapist | 4600 E Shea Blvd, Phoenix, AZ 85028-6024 | 2015-07-13 |
| 1467832196 | The Clubhouse Innovative Therapy Centers | Clinic/Center | 4600 E Shea Blvd, 101, Phoenix, AZ 85028-6024 | 2015-06-08 |
| 1265824221 | Emily Pierson | Occupational Therapist | 4600 E Shea Blvd, Ste. 101, Phoenix, AZ 85028-6024 | 2015-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649656802 | Stephanie Michelle O'malley | Physical Therapist | 1007 N 7th St, Phoenix, AZ 85006-2728 | 2015-08-10 |
| 1033478573 | Janelle Wong | Physical Therapist | 5314 N. 7th St., Phoenix, AZ 85014 | 2012-05-03 |
| 1013226182 | Joshua Bitton | Physical Therapist | 352 E Camelback Rd Ste 102, Phoenix, AZ 85012-1646 | 2010-10-06 |
| 1407164155 | Audra Pratt | Physical Therapist | 3214 W Louise Dr, Phoenix, AZ 85027-1627 | 2010-09-15 |
| 1043424922 | Dorcas Sue Ciskowski | Physical Therapist | 4503 E White Aster St, Phoenix, AZ 85044-6835 | 2007-05-09 |
| 1093928871 | Mellissa Leone Bayles | Physical Therapist | 455 North 3rd St Suite 200, Phoenix, AZ 85004 | 2007-05-08 |
| 1073725503 | Sara Beth Freberg | Physical Therapist | 18250 N 32nd Street, Unit 1003, Phoenix, AZ 85032 | 2007-05-04 |
| 1558587683 | Kids Instruction for Developmental Services, LLC | Physical Therapist | 726 W Aire Libre Ave, Phoenix, AZ 85023-7910 | 2007-04-17 |
| 1609917533 | Jennifer Christine Conti | Physical Therapist | 2601 E Thomas Rd, Suite 105, Phoenix, AZ 85016-8221 | 2007-02-12 |
| 1801950316 | Tamiko Hirasawa | Physical Therapist | 2726 E Acoma Dr, Phoenix, AZ 85032-4900 | 2006-12-20 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.