Individual provider Active NPI

Cheryl Dimapasoc Beloro, PT, DPT, OCS

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1497971055
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30012 Issued in CA
Practice address
11276 5TH St
Ste 400 & 450
Rancho Cucamonga, CA 91730-0921
Phone
(909) 481-0437
Fax
(909) 481-0837
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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 PT30012 CA Primary

Addresses

Primary practice location

11276 5TH St
Ste 400 & 450
Rancho Cucamonga, CA 91730-0921

Mailing address

15405 Hydrangea LN
Fontana, CA 92336-0221
Phone (909) 957-8797

Other identifiers 1

IdentifierTypeStateIssuer
PT 30012OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

Other names 1

  • Cheryl Leann Dimapasoc 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
PT30012CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P and a Health Services Physical Therapist PastSince Mar 1, 2009 Accepting new patients
PT Plus Rehab, Inc Physical Therapist Past Accepting new patients

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1497971055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 HYDRANGEA LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360221",
            "telephone_number": "909-957-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11276 5TH ST",
            "address_2": "STE 400 & 450",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300921",
            "telephone_number": "909-481-0437",
            "fax_number": "909-481-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELORO",
        "first_name": "CHERYL",
        "middle_name": "DIMAPASOC",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT 30012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "DIMAPASOC",
            "middle_name": "LEANN",
            "credential": "PT, DPT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.