Active NPI
Doulas McHargue, P.T.
- Physical Therapist
- Arroyo Grande, CA
National Provider Identifier
1114348604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009933
- Practice address
- 117 S Halcyon Rd
Arroyo Grande, CA 93420-3115 - Phone
- (805) 481-5656
- Fax
- (805) 481-5749
- NPI assigned
- Dec 30, 2013
- 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 | PT009933 | CA | Primary |
Addresses
Primary practice location
117 S Halcyon Rd
Arroyo Grande, CA 93420-3115
Mailing address
117 S Halcyon Rd
Arroyo Grande, CA 93420-3115
Phone (805) 481-5656
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 |
|---|---|---|---|
| PT009933 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1114348604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S HALCYON RD",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203115",
"telephone_number": "805-481-5656",
"fax_number": "805-481-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S HALCYON RD",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203115",
"telephone_number": "805-481-5656",
"fax_number": "805-481-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHARGUE",
"first_name": "DOULAS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-30",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT009933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.