Individual provider Active NPI

Cheryl Denise Tibbetts, P.T.

  • Orthopedic Physical Therapist
  • Scotts Valley, CA
National Provider Identifier
1306841267
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19660 Issued in CA
Practice address
4615 Scotts Valley Dr
Suite D
Scotts Valley, CA 95066-4278
Phone
(831) 438-4478
Fax
(831) 438-5059
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 19660 CA 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081103000405 CA Practitioner - Physical Therapist in Private Practice 3971564204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
80.46 of 100Reported as individual
Quality
62.75
Improvement activities
40
Cost
84.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howard & Tibbetts Physical Therapy, Inc. CurrentSince May 21, 2008 Accepting new patients
Howard & Tibbetts Physical Therapy, Inc Orthopedic CurrentSince Jan 1, 2005 Accepting new patients

Locations

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

4615 Scotts Valley Dr
Ste D
Scotts Valley, CA 95066
Phone (831) 338-4458

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1306841267",
    "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",
            "fax_number": "831-438-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "CHERYL",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "19660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.