Individual provider Active NPI

Beverly Picardo, PT, DPT

  • Physical Therapist
  • San Carlos, CA
National Provider Identifier
1093690075
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1100 Industrial Rd Ste 11a
San Carlos, CA 94070-4167
Phone
(650) 593-9700
NPI assigned
Aug 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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 Primary

Addresses

Primary practice location

1100 Industrial Rd Ste 11a
San Carlos, CA 94070-4167

Mailing address

3416 Shasta Dr
San Mateo, CA 94403-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022003211 CA Practitioner - Physical Therapist in Private Practice 5991293862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matoso Tognetti IncGroup PAC ID 3577508860, 11 clinicians

Practice addresses (Care Compare)

1100 Industrial Rd
Suite 11a
San Carlos, CA 94070-4167
Phone (650) 593-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matoso-Tognetti, Inc. Physical Therapist CurrentSince Aug 26, 2025 Accepting new patients
MMT Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

1100 Industrial Rd
Ste 11A
San Carlos, CA 94070
Phone (650) 593-5700

1810 Gateway Dr
Ste 110
San Mateo, CA 94404
Phone (650) 345-2739

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1093690075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 SHASTA DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 INDUSTRIAL RD STE 11A",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704167",
            "telephone_number": "650-593-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARDO",
        "first_name": "BEVERLY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.