DR. BETHANY MARIE PATTERSON (PT, DPT) – Physical Therapist, NPI 1497003404

DR. BETHANY MARIE PATTERSON (PT, DPT) is a healthcare provider. based in Idabel, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 4563 (OK). The NPI Number for DR. BETHANY MARIE PATTERSON (PT, DPT) is 1497003404

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. BETHANY MARIE PATTERSON (PT, DPT)
NPI
1497003404
Phone
(580) 286-2600
Address
902 E LINCOLN RD
Enumeration Date
22 August 2012
Last Update Date
5 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185677000
Graduation Year
2012 (14 years ago)
PAC ID
0648644260
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20230322002818
Address ID
OK747457817ID902XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for DR. BETHANY MARIE PATTERSON (PT, DPT)

  • 902 E LINCOLN RD

    IDABEL, OK 747457337

    Phone: (580) 286-2600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230322002818IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
Orthopedic Surgery, Sports MedicineTX
-OK

Reviews

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Frequently asked questions

What NPI should I save for DR. BETHANY MARIE PATTERSON (PT, DPT)?
Save NPI 1497003404 if you need a stable reference for DR. BETHANY MARIE PATTERSON (PT, DPT).
Is DR. BETHANY MARIE PATTERSON (PT, DPT)'s NPI currently valid?
The extract we use shows DR. BETHANY MARIE PATTERSON (PT, DPT) as active.
What kind of provider is DR. BETHANY MARIE PATTERSON (PT, DPT)?
The page reflects Physical Therapist for DR. BETHANY MARIE PATTERSON (PT, DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BETHANY MARIE PATTERSON (PT, DPT)?
The page summarizes Idabel, Oklahoma for DR. BETHANY MARIE PATTERSON (PT, DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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