Individual provider Active NPI

Ethelind Cacho Cahigas, PT

  • Physical Therapist
  • Tracy, CA
National Provider Identifier
1336388644
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39210 Issued in CA
Practice address
2180 W Grant Line Rd Ste 100
Tracy, CA 95377-7343
Phone
(925) 463-0470
NPI assigned
Feb 10, 2009
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 39210 CA Primary

Addresses

Primary practice location

2180 W Grant Line Rd Ste 100
Tracy, CA 95377-7343

Mailing address

2180 W Grant Line Rd Ste 100
Tracy, CA 95377-7343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921000586 CA Practitioner - Physical Therapist in Private Practice 0749441269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39210CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc Physical Therapist Current Accepting new patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Jun 1, 2023 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2023 Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc Physical Therapist CurrentSince Sep 11, 2019 Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc CurrentSince Sep 11, 2019 Accepting new patients
Bass Medical Group Past Accepting new patients
Central Valley Cardiovascular Medical Group, Inc PastSince Aug 1, 2016 Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

4626 Willow Rd
Ste 200
Pleasanton, CA 94588
Phone (925) 463-0470

2180 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (925) 463-0470

Interoperability endpoints

  • Direct secure messaging: ethelind.cahigas.1@25176.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1336388644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 W GRANT LINE RD STE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 W GRANT LINE RD STE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777343",
            "telephone_number": "925-463-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHIGAS",
        "first_name": "ETHELIND",
        "middle_name": "CACHO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.