Cheryl Ann Bethke, P.T.
Individual provider Active NPI Physical Therapist · Placerville, CA
NPI 1669420352 · NPPES record last updated Oct 18, 2007
Key facts
- NPI
- 1669420352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT14686 (CA)
- Practice address
- 1252 Broadway
Suite B
Placerville, CA 95667-5806 - Phone
- (530) 622-9410
- Fax
- (530) 622-9445
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14686 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitzpatrick Physical Therapy Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14686 | CA | Yes |
Addresses
Primary practice location
1252 Broadway
Suite B
Placerville, CA 95667-5806
Mailing address
1252 Broadway
Suite B
Placerville, CA 95667-5806
Phone (530) 622-9410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT14686 | Other | CA | PHYSICAL THERAPY LICENSE |
Other providers in Placerville, CA
- Debra Marie Benevidez
- Tashalla Benford
- Lawrence Arnold Berger
- Michael Berry
- Matteo Bertoni
- Renee Lynn Betts
- Harchitwant Bhinder
- Jeri Patricia Bianca
- Courtnie Billett
- Patty Anne Billingham
All providers in Placerville, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 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.