Active NPI
Beth Powell
- Physical Therapist
- Pleasanton, CA
National Provider Identifier
1215495304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33531
- Practice address
- 3908 Valley Ave Ste B
Pleasanton, CA 94566-4872 - Phone
- (925) 417-8005
- Fax
- (925) 417-8881
- NPI assigned
- Mar 7, 2019
- 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 | PT33531 | CA | Primary |
Addresses
Primary practice location
3908 Valley Ave Ste B
Pleasanton, CA 94566-4872
Mailing address
3908 Valley Ave Ste B
Pleasanton, CA 94566-4872
Phone (925) 417-8005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT33531 | Other | CA | PHYSICAL THERAPIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT33531 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1215495304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 VALLEY AVE STE B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945664872",
"telephone_number": "925-417-8005",
"fax_number": "925-417-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3908 VALLEY AVE STE B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945664872",
"telephone_number": "925-417-8005",
"fax_number": "925-417-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT33531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "PT33531",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
- Portia Bell Hume Behavioral Health and Training Center
- Portia Bell Hume Behavioral Health and Training Center (The Hume Center)
- Portia Bell Hume Behavioral Health and Training Center
- Jessalynn R Potts, D.P.T.
- Sujata Poudel, NP
- Moises Powell
- Meenakshi Prabhakar, DPT
- Shyamala Prakash
- Koshal Prasad
- Precision Open MRI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.