Active NPI
James Paul Macdonald, M.S.P.T.,DPT
- Physical Therapist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15144
- Practice address
- 5290 Elvas Ave
Sacramento, CA 95819-2332 - Phone
- (916) 457-8801
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT15144 | CA | Primary |
Addresses
Primary practice location
5290 Elvas Ave
Sacramento, CA 95819-2332
Mailing address
2158 Humphries CT
Gold River, CA 95670-8315
Phone (916) 457-8801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT15144 | Other | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3400 Elvas Ave
Sacramento, CA 95819-1913
Phone (916) 457-8802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15144 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Sacramento Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
Locations
5260 Elvas Ave
Sacramento, CA 95819
Phone (916) 457-8801
3400 Elvas Ave
Sacramento, CA 95819
Phone (916) 457-8802
5290 Elvas Ave
Ste A
Sacramento, CA 95819
Phone (916) 457-8801
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.
-
- Physical Therapy Clinic/Center
- Sacramento, CA
- NPI 1871610287
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114079340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2158 HUMPHRIES CT",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956708315",
"telephone_number": "916-457-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 ELVAS AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192332",
"telephone_number": "916-457-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "JAMES",
"middle_name": "PAUL",
"credential": "M.S.P.T.,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT15144",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.