Individual provider Active NPI

Rona Kaye Nagal Hillerman

  • Physical Therapist
  • Patterson, CA
National Provider Identifier
1649966201
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303215 Issued in CA
Practice address
1700 Keystone Pacific Pkwy Unit C2
Patterson, CA 95363-8874
Phone
(209) 895-4206
Fax
(209) 222-6158
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 303215 CA Primary

Addresses

Primary practice location

1700 Keystone Pacific Pkwy Unit C2
Patterson, CA 95363-8874

Mailing address

2221 Arbor Way
Turlock, CA 95380-2803
Phone (408) 680-3507

Other practice location 1

2221 Arbor Way
Turlock, CA 95380-2803
Phone (408) 680-3507

Other names 1

  • Rona Kaye Madarang Nagal Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020001176 CA Practitioner - Physical Therapist in Private Practice 5092161489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andersen Physical Therapy Inc 11 clinicians

Practice addresses (Care Compare)

1917 Coffee Rd
Modesto, CA 95355-2704
Phone (209) 549-4626

Merit-based Incentive Payment System (MIPS)

Final score
67.73 of 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andersen Physical Therapy, Inc Physical Therapist CurrentSince Nov 15, 2023 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Aug 26, 2023 Accepting new patients
Andersen Physical Therapy, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Body in Balance Physical Therapy, Inc. Physical Therapist PastSince Feb 28, 1990 Accepting new patients
Physiomotion Physical Therapy, Inc. Physical Therapist PastSince Aug 8, 2016 Accepting new patients

Locations

2222 Francisco Dr
Ste 120
El Dorado Hills, CA 95762
Phone (916) 235-4071

222 Acacia St
Fairfield, CA 94533
Phone (707) 421-0418

4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1917 Coffee Rd
Modesto, CA 95355
Phone (209) 549-4626

1700 Keystone Pacific Pkwy
Unit C2
Patterson, CA 95363
Phone (209) 881-9274

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

1586 Constitution Blvd
Salinas, CA 93905
Phone (831) 276-0565

Organizations & group practices 5

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1649966201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 ARBOR WAY",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802803",
            "telephone_number": "408-680-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 KEYSTONE PACIFIC PKWY UNIT C2",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638874",
            "telephone_number": "209-895-4206",
            "fax_number": "209-222-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Arbor Way",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953802803",
            "country_code": "US",
            "telephone_number": "408-680-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLERMAN",
        "first_name": "RONA KAYE",
        "middle_name": "NAGAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONA KAYE",
            "last_name": "NAGAL",
            "middle_name": "MADARANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.