Active NPI
Sonali Bera, PT
- Physical Therapist
- McKinleyville, CA
National Provider Identifier
1730255274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23554
- Practice address
- 1585 Heartwood Dr
Suite H
McKinleyville, CA 95519-3991 - Phone
- (707) 839-1802
- Fax
- (707) 839-3507
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT23554 | CA | Primary |
Addresses
Primary practice location
1585 Heartwood Dr
Suite H
McKinleyville, CA 95519-3991
Mailing address
2306 Dean St
Eureka, CA 95501-3209
Phone (707) 443-8354
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT23554 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1730255274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 DEAN ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013209",
"telephone_number": "707-443-8354",
"fax_number": "707-443-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 HEARTWOOD DR",
"address_2": "SUITE H",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955193991",
"telephone_number": "707-839-1802",
"fax_number": "707-839-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERA",
"first_name": "SONALI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinleyville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.