Organization Active NPI

JC Practice Development, Inc.

  • Physical Therapist
  • Cypress, CA
National Provider Identifier
1518010610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27482 Issued in CA
Legal business name
JC PRACTICE DEVELOPMENT, INC.
Practice address
5201 Lincoln Ave
Unit 219
Cypress, CA 90630-2913
Phone
(562) 453-7236
Fax
(714) 995-4985
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Cecil Godoy, P.T.
Title
President
Phone
(562) 453-7236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27482 CA Primary

Addresses

Primary practice location

5201 Lincoln Ave
Unit 219
Cypress, CA 90630-2913

Mailing address

5201 Lincoln Ave
Unit 219
Cypress, CA 90630-2913
Phone (562) 453-7236

National Provider Directory

National Provider Directory

Locations

15892B Gale Ave
Hacienda Heights, CA 91745
Phone (562) 453-7236

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518010610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 LINCOLN AVE",
            "address_2": "UNIT 219",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302913",
            "telephone_number": "562-453-7236",
            "fax_number": "714-995-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 LINCOLN AVE",
            "address_2": "UNIT 219",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302913",
            "telephone_number": "562-453-7236",
            "fax_number": "714-995-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC PRACTICE DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODOY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-453-7236",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.