Bette Jo Fairclough, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5181 Issued in CA

Practice address

633 Veterans Blvd
Redwood City, CA 94063-1408

Phone

(650) 363-5658

NPI assigned

Apr 28, 2008

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

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1043485311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 MELENDY DR",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 VETERANS BLVD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631408",
            "telephone_number": "650-363-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOUGH",
        "first_name": "BETTE",
        "middle_name": "JO",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "5181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Amine Ezzaoui Rahali
• Lo-ER Fa
• Susan G Fabbro, MFT
• Caryn Tia Facunla
• Bonnie S Faigeles
• Brandy C. Falcon, L.AC.
• Danielle Suzanne Fallon, LMFT
• Cindy Famero
• Family Asthma and Allergy Center P.C.
• Family Service Agency of San Mateo County

• Physical Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.