Active NPI
Madoka Taguchi
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1083198618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4531
- Practice address
- 1221B Roma Ave NW
Albuquerque, NM 87102-1874 - Phone
- (501) 908-6488
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0015925 | CO | |
| Physical Therapist | 225100000X | PT4531 | NM | Primary |
Addresses
Primary practice location
1221B Roma Ave NW
Albuquerque, NM 87102-1874
Mailing address
1221B Roma Ave NW
Albuquerque, NM 87102-1874
Phone (501) 908-6488
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0015925 | CO | MD | Physical Therapist |
| PT4531 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1083198618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221B ROMA AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021874",
"telephone_number": "501-908-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221B ROMA AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021874",
"telephone_number": "501-908-6488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGUCHI",
"first_name": "MADOKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0015925",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT4531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.