Consolacion A Besario, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003596A Issued in IN

Practice address

3208 Sand Wood Dr
South Bend, IN 46628-6146

Phone

(574) 277-5593

NPI assigned

May 18, 2012

Last updated

May 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children's Therapy Innovations Inc.

  dba CTI Aging and Rehabilitative Services

  • Intellectual Disabilities Intermediate Care Facility
  • South Bend, IN
  • NPI 1407166192
  NPD (past)

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1427318914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 SAND WOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286146",
            "telephone_number": "574-277-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 SAND WOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286146",
            "telephone_number": "574-277-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESARIO",
        "first_name": "CONSOLACION",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003596A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold E Bernt, LCSW
• Corey Alan Beron, BCABA
• David C Bertoncini, MD
• Anna C. Berzai, RD
• Scott Berzai
• Jennifer N Besemer, RD, CDE
• Stacy Beshara, PT
• Wanda Socorro Betancourt Rivera, RN
• Kaelah Bethany
• Kenndall Bethel

• Physical Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.