Christine Ely, M.P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT18744 Issued in CA

Practice address

785 Main St
Half Moon Bay, CA 94019-1992

Phone

(650) 712-8400

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christine Bethge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coastal Wellness and Physical Therapy, Inc

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Half Moon Bay, CA
  • NPI 1972251023
  NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1811965841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 MAIN ST",
            "address_2": "SUITE A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "94019",
            "telephone_number": "650-712-8400",
            "fax_number": "650-712-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MAIN ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191992",
            "telephone_number": "650-712-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "CHRISTINE",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT18744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT18744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BETHGE",
            "credential": "M.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek H. Tang DDS Inc.
• Dr Jeremiah Kloss DC Encourage Chiropractic
• Dr. Veronica Lam, O.D., Inc.
• El Centro de Libertad/the Freedom Center, Inc.
• Elder Manage Care
• Stephen H. Embury, M.D.
• Josefina R Enriquez, MD
• Nadia Eteiwi
• Evergreen Bay Family Care Inc
• Giovanna Francesca Fattorini-Ocampo, LMFT

• Specialist in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.