Active NPI
Delia Rodriguez Godinez, D.P.T
- Physical Therapist
- Northridge, CA
National Provider Identifier
1265759138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36655
- Practice address
- 11260 Wilbur Ave
Suite 101
Northridge, CA 91326-2450 - Phone
- (818) 832-5656
- Fax
- (818) 832-5654
- NPI assigned
- Apr 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | PT36655 | CA | Primary |
Addresses
Primary practice location
11260 Wilbur Ave
Suite 101
Northridge, CA 91326-2450
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36655 | Other | CA | PT 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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15250 Ventura Blvd
Suite 300
Sherman Oaks, CA 91403-3214
Phone (818) 990-0267
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36655 | CA | MD | Mental Health Counselor |
| 36655 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bechtel Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
15250 Ventura Blvd
Ste 300
Sherman Oaks, CA 91403
Phone (818) 990-0267
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.
-
- Orthopedic Physical Therapist
- Sherman Oaks, CA
- NPI 1447953674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1265759138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 WILBUR AVE",
"address_2": "SUITE 101",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262450",
"telephone_number": "818-832-5656",
"fax_number": "818-832-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODINEZ",
"first_name": "DELIA",
"middle_name": "RODRIGUEZ",
"name_prefix": "Ms.",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT36655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "36655",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.