BEVERLY PICARDO (PT, DPT) – Physical Therapist, NPI 1093690075

BEVERLY PICARDO (PT, DPT) is a healthcare provider. based in San mateo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for BEVERLY PICARDO (PT, DPT) is 1093690075

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
BEVERLY PICARDO (PT, DPT)
NPI
1093690075
Phone
Not provided
Address
3416 SHASTA DR
Enumeration Date
8 August 2025
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
6505939700
Graduation Year
2025 (1 year ago)
PAC ID
5991293862
Group Practice PAC ID
3577508860
Professional Enrollment ID
I20251022003211
Address ID
CA940704167SA1100XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for BEVERLY PICARDO (PT, DPT)

  • 3416 SHASTA DR

    SAN MATEO, CA 944033909

    Phone:

    Type: Mailing

  • 1100 INDUSTRIAL RD STE 11A

    SAN CARLOS, CA 940704167

    Phone: (650) 593-9700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251022003211IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577508860View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does BEVERLY PICARDO (PT, DPT) have a public NPI I can cite?
Public records show BEVERLY PICARDO (PT, DPT) under NPI 1093690075.
Does the public listing show BEVERLY PICARDO (PT, DPT) as active?
BEVERLY PICARDO (PT, DPT)'s NPI record reflects an active status in NPPES.
What type of care does BEVERLY PICARDO (PT, DPT) provide?
BEVERLY PICARDO (PT, DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit BEVERLY PICARDO (PT, DPT) in San Mateo, California?
For routing, start with San Mateo, California for BEVERLY PICARDO (PT, DPT), then verify phone and hours locally.
Why is information missing for BEVERLY PICARDO (PT, DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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