Active NPI
Catherine De Verteuil, R.P.T.
- Physical Therapist
- St Augustine, FL
National Provider Identifier
1861637639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 8105
- Practice address
- 1720 N Cappero Dr
Saint Augustine, FL 32092-4766 - Phone
- (904) 217-4914
- NPI assigned
- Dec 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 8105 | FL | Primary |
Addresses
Primary practice location
1720 N Cappero Dr
Saint Augustine, FL 32092-4766
Mailing address
1720 N Cappero Dr
Saint Augustine, FL 32092-4766
Phone (904) 217-4914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R6F | Other | FL | BC/BS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 8105 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1861637639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 N CAPPERO DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320924766",
"telephone_number": "904-217-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 N CAPPERO DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320924766",
"telephone_number": "904-217-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VERTEUIL",
"first_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 8105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "R6F",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.