Jody Warren Bethea, PT - Physical Therapist in Bonita, CA

Jody Warren Bethea, PT is a Physical Therapist based in Bonita, California. Jody Warren Bethea is licensed to practice in California (license number PT11267) and his current practice location is 4840 Butternut Hollow Ln, Bonita, California. He can be reached at his office (for appointments etc.) via phone at (619) 972-5031.

NPI number for Jody Warren Bethea is 1992068142 and his current mailing address is 4840 Butternut Hollow Ln, Bonita, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992068142.

Contact Information

Jody Warren Bethea, PT
4840 Butternut Hollow Ln,
Bonita, CA 91902-1717
(619) 972-5031
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJody Warren Bethea
GenderMale
SpecialityPhysical Therapist
Location4840 Butternut Hollow Ln, Bonita, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992068142
  • Provider Enumeration Date: 06/22/2012
  • Last Update Date: 06/22/2012

Medical Identifiers

Medical identifiers for Jody Warren Bethea such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992068142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT11267 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jody Warren Bethea is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jody Warren Bethea, PT
4840 Butternut Hollow Ln,
Bonita, CA 91902-1717

Ph: (619) 972-5031
Jody Warren Bethea, PT
4840 Butternut Hollow Ln,
Bonita, CA 91902-1717

Ph: (619) 972-5031

Reviews and Comments


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