Individual provider Active NPI

Brenda Neer, P.T.

  • Physical Therapist
  • Chowchilla, CA
National Provider Identifier
1881713543
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7911 Issued in CA
Practice address
285 Hospital Dr
Room 29
Chowchilla, CA 93610-2041
Phone
(559) 665-1709
Fax
(559) 665-1767
NPI assigned
Mar 27, 2007
Last updated
Dec 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7911 CA Primary

Addresses

Primary practice location

285 Hospital Dr
Room 29
Chowchilla, CA 93610-2041

Mailing address

PO Box 185
Chowchilla, CA 93610-0185
Phone (559) 665-1709

Other identifiers 2

IdentifierTypeStateIssuer
13-4252407OtherCATAX ID #
ZZZ07356ZOtherCABLUE SHIELD PIN#

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7911CAMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1881713543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936100185",
            "telephone_number": "559-665-1709",
            "fax_number": "559-665-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HOSPITAL DR",
            "address_2": "ROOM 29",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102041",
            "telephone_number": "559-665-1709",
            "fax_number": "559-665-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEER",
        "first_name": "BRENDA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "13-4252407",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN#",
            "identifier": "ZZZ07356Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chowchilla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.