Individual provider Active NPI

Darlene Godoy Macatangay

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1619631769
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300834 Issued in CA
Practice address
3150 Almaden Expy Ste 120
San Jose, CA 95118-1260
Phone
(408) 540-7622
Fax
(408) 540-7696
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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 300834 CA Primary

Addresses

Primary practice location

3150 Almaden Expy Ste 120
San Jose, CA 95118-1260

Mailing address

3150 Almaden Expy Ste 120
San Jose, CA 95118-1260
Phone (408) 540-7622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116001952 CA Practitioner - Physical Therapist in Private Practice 5597154336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: darlene.macatangay.1@17371.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1619631769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181260",
            "telephone_number": "408-540-7622",
            "fax_number": "408-540-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181260",
            "telephone_number": "408-540-7622",
            "fax_number": "408-540-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACATANGAY",
        "first_name": "DARLENE",
        "middle_name": "GODOY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.