Active NPI
Nichol Arline Maytubby, DPT
- Physical Therapist
- Bakersfield, CA
National Provider Identifier
1205939717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34920
- Practice address
- 4101 Easton Dr
Bakersfield, CA 93309-1021 - Phone
- (661) 377-1700
- Fax
- (661) 377-1707
- NPI assigned
- Sep 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34920 | CA | Primary |
Addresses
Primary practice location
4101 Easton Dr
Bakersfield, CA 93309-1021
Mailing address
PO Box 13310
Bakersfield, CA 93389-3310
Phone (661) 377-1700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34920 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabauthority, LLC | Physical Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1205939717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13310",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933893310",
"telephone_number": "661-377-1700",
"fax_number": "661-377-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 EASTON DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933091021",
"telephone_number": "661-377-1700",
"fax_number": "661-377-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYTUBBY",
"first_name": "NICHOL",
"middle_name": "ARLINE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.