Individual provider Active NPI

Henrietta Van Hemert Tot Dingshof, PT

  • Physical Therapist
  • Half Moon Bay, CA
National Provider Identifier
1801919154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18954 Issued in CA
Practice address
785 Main St
Suite a
Half Moon Bay, CA 94019-1992
Phone
(650) 728-3124
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT18954 CA Primary

Addresses

Primary practice location

785 Main St
Suite a
Half Moon Bay, CA 94019-1992

Mailing address

199 Second Street
PO Box 370606
Montara, CA 94037-0606
Phone (650) 728-3124

Other names 1

  • Ms. Jetta Van Hemert Other 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
PT18954CAMDLicensed Psychiatric Technician
18954CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wellness and Physical Therapy, Inc Physical Therapist PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 1

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801919154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SECOND STREET",
            "address_2": "PO BOX 370606",
            "city": "MONTARA",
            "state": "CA",
            "postal_code": "940370606",
            "telephone_number": "650-728-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MAIN ST",
            "address_2": "SUITE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191992",
            "telephone_number": "650-728-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HEMERT TOT DINGSHOF",
        "first_name": "HENRIETTA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JETTA",
            "last_name": "VAN HEMERT",
            "prefix": "MS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.