Individual provider Active NPI

Ma Cherryl Ancheta, PT

  • Physical Therapist
  • La Quinta, CA
National Provider Identifier
1073630364
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34492 Issued in CA
Practice address
45360 Desert Fox Dr
La Quinta, CA 92253-4212
Phone
(760) 610-2533
Fax
(760) 610-2533
NPI assigned
Mar 23, 2007
Last updated
May 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT07010F LA
Physical Therapist 225100000X 007847 CT
Physical Therapist 225100000X 018086 PA
Physical Therapist 225100000X 34492 CA Primary

Addresses

Primary practice location

45360 Desert Fox Dr
La Quinta, CA 92253-4212

Mailing address

45360 Desert Fox Dr
La Quinta, CA 92253-4212
Phone (760) 610-2533

Other names 1

  • Ms. Cherryl Ancheta Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34492CAMDPhysical Therapist
007847CTMDPhysical Therapist
PT07010FLAMDPhysical Therapist
018086PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Life Home Health LLC PastSince Feb 4, 2013 Accepting new patients

Organizations & group practices 1

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1073630364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45360 DESERT FOX DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534212",
            "telephone_number": "760-610-2533",
            "fax_number": "760-619-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45360 DESERT FOX DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534212",
            "telephone_number": "760-610-2533",
            "fax_number": "760-610-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCHETA",
        "first_name": "MA",
        "middle_name": "CHERRYL",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT07010F",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007847",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "018086",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRYL",
            "last_name": "ANCHETA",
            "prefix": "MS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.