NPIMap

Organization Active NPI

Howard & Tibbetts Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Scotts Valley, CA
National Provider Identifier
1295860823
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOWARD & TIBBETTS PHYSICAL THERAPY, INC
Practice address
4615 Scotts Valley Dr
Suite D
Scotts Valley, CA 95066-4278
Phone
(831) 438-4478
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl Tibbetts, PTNPI 1306841267
Title
Owner
Phone
(831) 438-4478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4615 Scotts Valley Dr
Suite D
Scotts Valley, CA 95066-4278

Mailing address

4615 Scotts Valley Dr
Suite D
Scotts Valley, CA 95066-4278
Phone (831) 438-4478

Other names 1

  • Valley Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020001028 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193786424 Receives reassigned benefits from 1 practitioner
Practice locations: Scotts Valley, CA

National Provider Directory

National Provider Directory
Tax ID family
Howard Tibbetts Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13350 W Park Ave
Ste A2
Boulder Creek, CA 95006
Phone (831) 338-4458

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1295860823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 SCOTTS VALLEY DR",
            "address_2": "SUITE D",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664278",
            "telephone_number": "831-438-4478",
            "fax_number": "831-438-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SCOTTS VALLEY DR",
            "address_2": "SUITE D",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664278",
            "telephone_number": "831-438-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD & TIBBETTS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "TIBBETTS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-438-4478",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.