Individual provider Active NPI

Jeanetta Bester

  • Physical Therapist
  • Monroeville, PA
National Provider Identifier
1861071763
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215322 Issued in VA
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

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126001275 VA Practitioner - Physical Therapist in Private Practice 0446621635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029084PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Oct 15, 2022 Accepting new patients
Physical Therapy Solutions Limited Partnership Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Oct 15, 2022 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.