Individual provider Active NPI

Catherine Darcy Hidalgo, PT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1184848624
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2741 Issued in NM
Practice address
1700 Mae Ave SW
Valle Vista Es
Albuquerque, NM 87105-2822
Phone
(505) 836-7739
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2741 NM Primary

Addresses

Primary practice location

1700 Mae Ave SW
Valle Vista Es
Albuquerque, NM 87105-2822

Mailing address

1700 Mae Ave SW
Valle Vista Es
Albuquerque, NM 87105-2822
Phone (505) 836-7739

Other identifiers 1

IdentifierTypeStateIssuer
57431582MedicaidNM

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

LicenseStateTypeSpecialty
2741NMMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184848624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MAE AVE SW",
            "address_2": "VALLE VISTA ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052822",
            "telephone_number": "505-836-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MAE AVE SW",
            "address_2": "VALLE VISTA ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052822",
            "telephone_number": "505-836-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "CATHERINE",
        "middle_name": "DARCY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57431582",
            "state": "NM"
        }
    ],
    "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 Jul 9, 2007; 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.