Elke Monika Etcheberry, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

140 S Marion Ave
Bremerton, WA 98312-3639

Phone

(360) 479-4747

Fax

(360) 478-6246

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013113786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 THASOS AVE NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983114067",
            "telephone_number": "360-613-0837",
            "fax_number": "360-613-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MARION AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123639",
            "telephone_number": "360-479-4747",
            "fax_number": "360-478-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHEBERRY",
        "first_name": "ELKE",
        "middle_name": "MONIKA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Espinoza, D.O.
• Lionel Espinoza
• Samuel Gilbert Espiritu, D.O.
• Kaitleen Estrella
• Christina Estrem, DPT
• George V Evanoff, M.D.
• Joy Evans
• Christopher Franklin Evatt, BA
• Quartz Eve
• Kalina A Eveland, RDH

• Physical Therapy Assistant in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.