Individual provider Active NPI

Elizabeth Ann McGonagle, DPT, ATC

  • Physical Therapy Clinic/Center
  • Napa, CA
National Provider Identifier
1174894059
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT38022 Issued in CA
Practice address
433 Soscol Avenue
Suite B 191
Napa, CA 94559-4040
Phone
(707) 224-3131
Fax
(707) 224-2356
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT38022 CA Primary

Addresses

Primary practice location

433 Soscol Avenue
Suite B 191
Napa, CA 94559-4040

Mailing address

433 Soscol Avenue
Suite B 191
Napa, CA 94559-4040
Phone (707) 224-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000447 CA Practitioner - Physical Therapist in Private Practice 3779743810 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38022CAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Xcelerate Physical Therapy Inc. Physical Therapy CurrentSince Nov 5, 2019 Accepting new patients
Mobile Therapy Specialists Inc Physical Therapy CurrentSince Jun 13, 2022 Accepting new patients
Seal Beach Physical Therapy Inc. CurrentSince Nov 5, 2019 Accepting new patients
Think Physical Therapy Physical Therapy CurrentSince Jun 16, 2023 Accepting new patients
Think Physical Therapy PastSince Jun 16, 2023 Accepting new patients
Napa Valley Physical Therapy Center Inc Physical Therapy PastSince Mar 18, 2019 Accepting new patients

Locations

1005 Pacific Coast Hwy
#A2
Seal Beach, CA 90740
Phone (562) 598-5500

365 W 1st St
Tustin, CA 92780
Phone (714) 544-5565

Organizations & group practices 6

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1174894059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SOSCOL AVENUE",
            "address_2": "SUITE B 191",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594040",
            "telephone_number": "707-224-3131",
            "fax_number": "707-224-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SOSCOL AVENUE",
            "address_2": "SUITE B 191",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594040",
            "telephone_number": "707-224-3131",
            "fax_number": "707-224-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONAGLE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT38022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.