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BETHANY B THOMAS SPEECH PATHOLOGIST
NPI 1063719862
Speech-Language Pathologist in Johnson City, TN

Active since February 15, 2011
2340 KNOB CREEK ROAD, SUITE 704, JOHNSON CITY, TN 37604(423) 929-9101(423) 434-2032 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethany B Thomas Speech Pathologist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY B THOMAS SPEECH PATHOLOGIST (NPI 1063719862) is an individual speech-language pathologist provider in Johnson City, Tennessee, licensed in Tennessee (SP0000002245) and active in the NPI registry since February 2011. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1063719862
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBETHANY B THOMASCredential: SPEECH PATHOLOGIST
Location Address2340 KNOB CREEK ROAD, SUITE 704Johnson City, TN 37604
Mailing Address2340 Knob Creek Road, Suite 704Johnson City, TN 37604 · (423) 929-9101 · Fax (423) 434-2032
Phone(423) 929-9101
Fax(423) 434-2032
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 15, 2011
✔ NPI 1063719862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TN · SP0000002245
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2340 KNOB CREEK ROAD, Johnson City, TN 37604
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany B Thomas Speech Pathologist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486111895
PECOS Enrollment IDI20260805003779

Medicare Billing Reassignment

Medicare enrollment records show Bethany Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpro Heritage Rehab & Fitness, LLC
99 mi
Physical Therapist
960 S CHARLES G SEIVERS BLVD
Clinton, TN 37716
  • Reassigned Medicare billing, Tennessee enrollment
  • 175 clinicians in this Medicare group
NPI 1376073262 (865) 270-3178

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNSON CITY UROLOGICAL CLINIC, P.C.
Urology (Pediatric Urology)
2340 KNOB CREEK ROAD, SUITE 720
JOHNSON CITY, TN 37604
Washington County (423) 926-6112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Thomas's NPI number?

The NPI number for Bethany Thomas is 1063719862. It was assigned to this individual provider in the NPPES registry on February 15, 2011.

Where is Bethany Thomas located?

Bethany Thomas practices at 2340 Knob Creek Road Suite 704, Johnson City, TN 37604. The listed phone number is (423) 929-9101.

What is Bethany Thomas's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Bethany Thomas enrolled in Medicare?

Yes. Bethany Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethany Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Thomas reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Clinton, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bethany Thomas was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.