MICHAEL JOSEPH BERETTA (P.T.) – Physical Therapist, NPI 1639161607

MICHAEL JOSEPH BERETTA (P.T.) is a healthcare provider. based in El dorado hills, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT269620 (CA). The NPI Number for MICHAEL JOSEPH BERETTA (P.T.) is 1639161607

Main info

Male
25 Years Of Experience
Name
MICHAEL JOSEPH BERETTA (P.T.)
NPI
1639161607
Phone
(916) 941-2440
Address
3840 EL DORADO HILLS BLVD
Enumeration Date
16 August 2005
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169412440
Graduation Year
2001 (25 years ago)
PAC ID
1456304658
Professional Enrollment ID
I20050228001021
Address ID
CA957629829EL4822XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MICHAEL JOSEPH BERETTA (P.T.)

  • El Dorado Hills Boulevard, El Dorado Hills, El Dorado County, California, 95762, United States

    SUITE 202

    EL DORADO HILLS, CA 957624567

    Phone: (916) 941-2440

    Fax: (916) 941-2450

    Type: Location

  • 4822 GOLDEN FOOTHILL PKWY UNIT 9

    EL DORADO HILLS, CA 957629829

    Phone: (916) 941-2440

    Fax: (916) 941-2450

    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: 2005-02-28

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
I20050228001021IPhysical 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

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,641132$0
97140Therapy procedure using manual technique, each 15 minutes2,614135$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40071$0
97116Therapy procedure for walking training, each 15 minutes29140$0
97161Evaluation for physical therapy, typically 20 minutes215119$0
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Insurance plans in this area (ZIP 95762)

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Provider's Procedures

MICHAEL JOSEPH BERETTA (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes168758

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Frequently asked questions

What federal number belongs to MICHAEL JOSEPH BERETTA (P.T.)?
The federal identifier for MICHAEL JOSEPH BERETTA (P.T.) is NPI 1639161607.
Is MICHAEL JOSEPH BERETTA (P.T.) currently active in the NPI registry?
CMS-published data lists MICHAEL JOSEPH BERETTA (P.T.) as an active registrant.
What kind of provider is MICHAEL JOSEPH BERETTA (P.T.)?
The page reflects Physical Therapist for MICHAEL JOSEPH BERETTA (P.T.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL JOSEPH BERETTA (P.T.)?
The page summarizes El Dorado Hills, California for MICHAEL JOSEPH BERETTA (P.T.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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