Individual provider Active NPI

Ruiz Macasaet, PT

  • Physical Therapist
  • Chatsworth, CA
National Provider Identifier
1013545557
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297847 Issued in CA
Practice address
10052 Farralone Ave
Chatsworth, CA 91311-2708
Phone
(818) 960-8170
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 297847 CA Primary

Addresses

Primary practice location

10052 Farralone Ave
Chatsworth, CA 91311-2708

Mailing address

10052 Farralone Ave
Chatsworth, CA 91311-2708
Phone (818) 960-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297847CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Touch Urgent Care CurrentSince Mar 17, 2024 Accepting new patients

Locations

4855 Santa Monica Blvd
Ste 102
Los Angeles, CA 90029
Phone (323) 673-7200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1013545557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10052 FARRALONE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112708",
            "telephone_number": "818-960-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10052 FARRALONE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112708",
            "telephone_number": "818-960-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASAET",
        "first_name": "RUIZ",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.