Active NPI
Bridget Tully Honeycutt, PT
- Physical Therapist
- King City, CA
National Provider Identifier
1104177740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10857
- Practice address
- 809 Broadway St
King City, CA 93930-3303 - Phone
- (831) 385-6835
- NPI assigned
- Sep 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10857 | CA | Primary |
Addresses
Primary practice location
809 Broadway St
King City, CA 93930-3303
Mailing address
665 Dolores LN
Templeton, CA 93465-4020
Phone (805) 674-2144
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT10857 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348272000000",
"number": "1104177740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 DOLORES LN",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934654020",
"telephone_number": "805-674-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 BROADWAY ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939303303",
"telephone_number": "831-385-6835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONEYCUTT",
"first_name": "BRIDGET",
"middle_name": "TULLY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-22",
"last_updated": "2012-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT10857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.