Individual provider Active NPI

Cathleen Kate Edralin Dulay, PTA

  • Physical Therapy Assistant
  • Fresno, CA
National Provider Identifier
1427663137
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
50819 Issued in CA
Practice address
1700 E Bullard Ave Ste 102
Fresno, CA 93710-5866
Phone
(559) 438-8531
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 50819 CA Primary

Addresses

Primary practice location

1700 E Bullard Ave Ste 102
Fresno, CA 93710-5866

Mailing address

4151 N Blythe Ave Apt 125
Fresno, CA 93722-6376
Phone (559) 283-1284

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
50819CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Physical Therapy, Inc. CurrentSince Sep 13, 2020 Accepting new patients

Locations

1700 E Bullard Ave
Ste 102
Fresno, CA 93710
Phone (559) 438-8531

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, 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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1427663137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 N BLYTHE AVE APT 125",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226376",
            "telephone_number": "559-283-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BULLARD AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105866",
            "telephone_number": "559-438-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULAY",
        "first_name": "CATHLEEN KATE",
        "middle_name": "EDRALIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.