Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beth S Dertz, PT

Individual provider Physical Therapist · NPI 1396052288

Beth S Dertz, PT is a Physical Therapist in Private Practice in Kokomo, Indiana. Qualified in 2010, 16 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1932 S Dixon Rd
Kokomo, IN 46902-7302
Phone: (765) 626-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1114 E Commercial Ave, Lowell, IN 46356-2359 — (219) 690-1048

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05010438A (IN)

Record details

NPI number1396052288
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 13, 2010
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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