NPIMap

Organization Active NPI

Howard & Tibbetts Physical Therapy, Inc.

Doing business as Valley Physical Therapy

  • Physical Therapist
  • Boulder Creek, CA
National Provider Identifier
1730182163
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOWARD & TIBBETTS PHYSICAL THERAPY, INC.
Doing business as
Valley Physical Therapy
Practice address
13350 West Park Ave
Ste A2
Boulder Creek, CA 95006
Phone
(831) 338-4458
NPI assigned
May 31, 2005
Last updated
Apr 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Ms. Cheryl Denise Tibbetts, P.T.NPI 1306841267
Title
Owner
Phone
(831) 438-4478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

13350 West Park Ave
Ste A2
Boulder Creek, CA 95006

Mailing address

4615 Scotts Valley Dr
Suite D
Scotts Valley, CA 95066-4278
Phone (831) 438-4478

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ60815ZZOtherCABLUE SHIELD ID #

Other names 1

  • Valley Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Howard Tibbetts Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13350 W Park Ave
Ste A2
Boulder Creek, CA 95006
Phone (831) 338-4458

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1730182163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 SCOTTS VALLEY DR",
            "address_2": "SUITE D",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664278",
            "telephone_number": "831-438-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 WEST PARK AVE",
            "address_2": "STE A2",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "95006",
            "telephone_number": "831-338-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD & TIBBETTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "TIBBETTS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-438-4478",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "ZZZ60815ZZ",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.