Active NPI
Jeanetta Bester
- Physical Therapist
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215322
- Practice address
- 4055 Monroeville Blvd
Monroeville, PA 15146-2522 - Phone
- (412) 692-9423
- NPI assigned
- Apr 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT029084 | PA | |
| Physical Therapist | 225100000X | 2305215322 | VA | Primary |
Addresses
Primary practice location
4055 Monroeville Blvd
Monroeville, PA 15146-2522
Mailing address
8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815
Phone (804) 569-1787
Other names 1
- Jeanetta Fricke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT029084 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Solutions Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
8201 Atlee Rd
Ste D
Mechanicsvlle, VA 23116
Phone (804) 569-1787
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
2040 John Rolfe Pkwy
Richmond, VA 23238
Phone (804) 754-0916
Interoperability endpoints
- jeanetta.e.fricke@upmcdirect.com
Organizations & group practices 3
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.
-
- Physical Therapist
- Mechanicsville, VA
- NPI 1659763050
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1861071763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 ATLEE RD STE D",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161815",
"telephone_number": "804-569-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 MONROEVILLE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462522",
"telephone_number": "412-692-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESTER",
"first_name": "JEANETTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029084",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANETTA",
"last_name": "FRICKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.