Carol Ann Beber, P.T.
Individual provider Active NPI Contractor · Seattle, WA
NPI 1497789671 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497789671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- PT00000509 (WA)
- Practice address
- 501 19TH Ave E
Seattle, WA 98112-4006 - Phone
- (206) 860-3746
- Fax
- (206) 860-0343
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Physical Therapy and Fitness, P.S.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | PT00000509 | WA | Yes |
Addresses
Primary practice location
501 19TH Ave E
Seattle, WA 98112-4006
Mailing address
910 13TH Ave
Seattle, WA 98122-4430
Phone (206) 329-3986
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BEBERCA572P2 | Other | WA | DRVER LICENSE |
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.