BETHA HUNNICUTT ERTZBERGER CPED
NPI 1992287387
Pedorthist in Ronkonkoma, NY

Active since August 31, 2018
2905 VETERANS MEMORIAL HWY STE 2, RONKONKOMA, NY 11779(631) 619-8505 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Betha Hunnicutt Ertzberger Cped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHA HUNNICUTT ERTZBERGER CPED (NPI 1992287387) is an individual pedorthist provider in Ronkonkoma, New York and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1992287387
Entity TypeIndividualFemale
Primary Taxonomy224L00000X
Provider Legal NameBETHA HUNNICUTT ERTZBERGERCredential: CPED
Location Address2905 VETERANS MEMORIAL HWY STE 2Ronkonkoma, NY 11779-7655
Mailing Address2320 Armstrong Park DrGastonia, NC 28054-4889 · (704) 747-6579
Sole ProprietorNo
Enumeration DateAugust 31, 2018
NPI 1992287387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
2905 VETERANS MEMORIAL HWY STE 2, Ronkonkoma, NY 11779

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pedorthist
2905 VETERANS MEMORIAL HWY STE 2
RONKONKOMA, NY 11779
Prosthetic/Orthotic Supplier
2905 VETERANS MEMORIAL HWY STE 2
RONKONKOMA, NY 11779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betha Ertzberger's NPI number?

The NPI number for Betha Ertzberger is 1992287387. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Betha Ertzberger located?

Betha Ertzberger practices at 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779. The listed phone number is (631) 619-8505.

What is Betha Ertzberger's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Betha Ertzberger was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.