Beery'S Physical Therapy, Inc
Organization Active NPI Physical Therapy Clinic/Center · Mariposa, CA
NPI 1851634893 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1851634893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 32428 (CA)
- Legal business name
- BEERY'S PHYSICAL THERAPY, INC
- Practice address
- 5008 Highway 140 Unit B
Mariposa, CA 95338-2434 - Phone
- (209) 966-2251
- Fax
- (209) 966-2771
- NPI assigned
- Mar 28, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeremiah Beery, PT
- Title
- President
- Phone
- (209) 966-2251
Practitioners 1
-
Jeremiah Beery, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130610000707 | CA | Part B Supplier - Clinic/Group Practice | 7810136561 |
Receives reassigned benefits from 1 practitioner Practice locations: Mariposa, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 32428 | CA | Yes |
Addresses
Primary practice location
5008 Highway 140 Unit B
Mariposa, CA 95338-2434
Mailing address
PO Box 5008-190
Mariposa, CA 95338-5008
Phone (209) 966-2251
Other providers in Mariposa, CA
- Timothy Gene Barnes
- Cassandra Fay Barrena
- Rafael Bautista Trelles
- Sabrina Ruth Bear
- Jeremiah Beery
- Lora L Bellefeuille
- Gary Michael Bishop
- Kelly Michelle Blankenship Nagle
- Bryan J Blew
- Blue Horizon Healthcare
All providers in Mariposa, CA · Physical Therapy Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.