Individual provider Active NPI

Beverly Tedtaotao Almario, PT

  • Physical Therapist
  • Westland, MI
National Provider Identifier
1457744948
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012299 Issued in MI
Practice address
37501 Joy Rd
Westland, MI 48185-7538
Phone
(734) 459-7042
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 5501012299 MI Primary

Addresses

Primary practice location

37501 Joy Rd
Westland, MI 48185-7538

Mailing address

40082 Eaton St
Apt 102
Canton, MI 48187-4523
Phone (248) 345-4776

Other names 1

  • Beverly Tedtaotao Gonzales Former name

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
5501012299MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1457744948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40082 EATON ST",
            "address_2": "APT 102",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874523",
            "telephone_number": "248-345-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37501 JOY RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857538",
            "telephone_number": "734-459-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMARIO",
        "first_name": "BEVERLY",
        "middle_name": "TEDTAOTAO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "GONZALES",
            "middle_name": "TEDTAOTAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.