Individual provider Active NPI

Estelle Ruth Everett, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1174539399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10890 Issued in CA
Practice address
3223 E Shields Ave
Fresno, CA 93726-6904
Phone
(559) 225-1029
Fax
(559) 225-1043
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT10890 CA Primary

Addresses

Primary practice location

3223 E Shields Ave
Fresno, CA 93726-6904

Mailing address

3223 E Shields Ave
Fresno, CA 93726-6904
Phone (559) 225-1029

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
PT10890CAMDPhysical Therapist
10890CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steves's Physical Therapy Corporation Physical Therapist Past Accepting new patients
Physiocare Physical Therapy Physical Therapist Past Accepting new patients
Physiocare Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174539399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266904",
            "telephone_number": "559-225-1029",
            "fax_number": "559-225-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266904",
            "telephone_number": "559-225-1029",
            "fax_number": "559-225-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "ESTELLE",
        "middle_name": "RUTH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.