Provider Demographics
NPI:1538109210
Name:NEUMANN, BETTINA K (PT)
Entity Type:Individual
Prefix:MISS
First Name:BETTINA
Middle Name:K
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:BETTINA
Other - Middle Name:K
Other - Last Name:NEUMANN-BALUNSAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:500 SUTTER ST STE 800
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1117
Mailing Address - Country:US
Mailing Address - Phone:415-282-4083
Mailing Address - Fax:415-362-4084
Practice Address - Street 1:500 SUTTER ST
Practice Address - Street 2:SUITE 514
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1107
Practice Address - Country:US
Practice Address - Phone:415-282-4083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18458225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0PT184582Medicare PIN