Individual provider Active NPI

Anne Bridget Howard, MPT

  • Physical Therapist
  • Soquel, CA
National Provider Identifier
1194708040
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18981 Issued in CA
Practice address
3121 Park Ave
Suite K
Soquel, CA 95073-2920
Phone
(831) 247-5584
Fax
(831) 464-8809
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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 PT18981 CA Primary

Addresses

Primary practice location

3121 Park Ave
Suite K
Soquel, CA 95073-2920

Mailing address

PO Box 2772
Aptos, CA 95001-2772
Phone (831) 247-5584

Other identifiers 1

IdentifierTypeStateIssuer
OPT 189810OtherCABLUE SHIELD ID #

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
PT18981CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard & Tibbetts Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Howard & Tibbetts Physical Therapy, Inc Physical Therapist PastSince May 21, 2008 Accepting new patients

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1194708040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2772",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950012772",
            "telephone_number": "831-247-5584",
            "fax_number": "831-336-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 PARK AVE",
            "address_2": "SUITE K",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732920",
            "telephone_number": "831-247-5584",
            "fax_number": "831-464-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "ANNE",
        "middle_name": "BRIDGET",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "OPT 189810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.