Individual provider Active NPI

Betsy Thomas

  • Physical Therapist
  • Pinole, CA
National Provider Identifier
1063122786
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303339 Issued in CA
Practice address
2160 Appian Way Ste 101
Pinole, CA 94564-2524
Phone
(510) 724-1248
NPI assigned
Dec 5, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303339 CA Primary

Addresses

Primary practice location

2160 Appian Way Ste 101
Pinole, CA 94564-2524

Mailing address

1247 Pine Creek Way Apt D
Concord, CA 94520-3688
Phone (302) 353-2437

Other practice location 1

1850 Gateway Blvd Ste 160
Concord, CA 94520-8417
Phone (925) 265-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
303339CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrantcare Outpatient Rehabilitation of California Inc Past Accepting new patients
Vibrantcare Outpatient Rehabilitation of California Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1063122786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 PINE CREEK WAY APT D",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945203688",
            "telephone_number": "302-353-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 APPIAN WAY STE 101",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642524",
            "telephone_number": "510-724-1248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Gateway Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945208417",
            "country_code": "US",
            "telephone_number": "925-265-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BETSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.