Individual provider Active NPI

Rachel Nazareno Madrid, P.T.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1295140226
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25668 Issued in CA
Practice address
10313 Silver Pine Way
San Diego, CA 92127-2833
Phone
(858) 227-3267
Fax
(858) 227-3267
NPI assigned
Jun 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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 25668 CA Primary

Addresses

Primary practice location

10313 Silver Pine Way
San Diego, CA 92127-2833

Mailing address

10313 Silver Pine Way
San Diego, CA 92127-2833
Phone (858) 227-3267

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

LicenseStateTypeSpecialty
25668CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zenergy Physical Therapy, Inc Physical Therapist PastSince Feb 16, 2012 Accepting new patients
Zenergy Physical Therapy Inc Physical Therapist PastSince Feb 17, 2018 Accepting new patients
Del Mar Village Physical Therapy Inc. Physical Therapist PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 3

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": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1295140226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 SILVER PINE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272833",
            "telephone_number": "858-227-3267",
            "fax_number": "858-227-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 SILVER PINE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272833",
            "telephone_number": "858-227-3267",
            "fax_number": "858-227-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "RACHEL",
        "middle_name": "NAZARENO",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-28",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.