Betty Ann Peschka

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

433 Camino Osito
Rio Rico, AZ 85648-3709

Phone

(480) 580-4314

NPI assigned

Aug 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1972159572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 CAMINO OSITO",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856483709",
            "telephone_number": "480-580-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CAMINO OSITO",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856483709",
            "telephone_number": "480-580-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCHKA",
        "first_name": "BETTY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Munoz, 3360 PT
• Cynthia Y O'Donnell, MA, CCC-SLP
• Elba Paulina Ochoa, SLPA
• Janelle A Payne, PT, DPT
• Rebekah M Peraza, SLP-A
• Patricia Monique Price, SLPA
• Arturo Ramirez
• Rio Rico Fire District
• Rio Rico Fire District
• Rio Rico Pharmacy LLC

• Athletic Trainer in Rio Rico, AZ
• Providers in Rio Rico, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.