Individual provider Active NPI

Beverlee Danielle Cvitanov, D.P.T.

  • Physical Therapist
  • Elk Grove, CA
National Provider Identifier
1114315280
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42089 Issued in CA
Practice address
9381 E Stockton Blvd Ste 108
Elk Grove, CA 95624-5069
Phone
(916) 686-5077
NPI assigned
Dec 24, 2014
Last updated
Dec 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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 42089 CA Primary

Addresses

Primary practice location

9381 E Stockton Blvd Ste 108
Elk Grove, CA 95624-5069

Mailing address

3913 Lasuen Dr
Sacramento, CA 95821-6526
Phone (916) 715-3641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505002255 CA Practitioner - Physical Therapist in Private Practice 1658690169 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42089CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Alves & Martinez Physical Therapy and Athletic Performance Physical Therapist CurrentSince Feb 16, 2015 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

9381 E Stockton Blvd
Ste 108
Elk Grove, CA 95624
Phone (916) 686-5070

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 4

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": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1114315280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 LASUEN DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216526",
            "telephone_number": "916-715-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 E STOCKTON BLVD STE 108",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245069",
            "telephone_number": "916-686-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVITANOV",
        "first_name": "BEVERLEE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.