Individual provider Active NPI

Mackenzie May, DPT

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1730638560
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT291983 Issued in CA
Practice address
885 Canarios CT Ste 110
Chula Vista, CA 91910
Phone
(619) 656-5102
Fax
(619) 656-5143
NPI assigned
Sep 21, 2016
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 PT291983 CA Primary

Addresses

Primary practice location

885 Canarios CT Ste 110
Chula Vista, CA 91910

Mailing address

885 Canarios CT Ste 110
Chula Vista, CA 91910-7877
Phone (619) 656-5102

Other practice location 1

935 W San Marcos Blvd
Suite 102
San Marcos, CA 92078-1142
Phone (760) 471-2440

Other practice location 2

955 Lane Ave Ste 201
Chula Vista, CA 91914-4525
Phone (619) 656-5102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006002065 CA Practitioner - Physical Therapist in Private Practice 0547558561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

885 Canarios CT
Suite 110
Chula Vista, CA 91910-7877
Phone (619) 656-5102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT291983CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Jean Boutelle/Carlsbad Physical Therapy Physical Therapist CurrentSince Sep 19, 2016 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince Sep 19, 2016 Accepting new patients
Manual Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Current Accepting new patients
Manual Orthopedic Physical Therapy, Inc. Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Past Accepting new patients

Locations

3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100

885 Canarios Ct
Ste 110
Chula Vista, CA 91910
Phone (619) 349-0797

955 Lane Ave
Ste 201
Chula Vista, CA 91914
Phone (619) 421-9521

1815 E Valley Pkwy
Ste 5
Escondido, CA 92027
Phone (760) 233-9655

850 Main St
Ste 105
Ramona, CA 92065
Phone (760) 789-1424

935 W San Marcos Blvd
Ste 102
San Marcos, CA 92078
Phone (760) 471-2440

9830 Prospect Ave
Ste A
Santee, CA 92071
Phone (619) 448-4860

2067 W Vista Way
Ste 185
Vista, CA 92083
Phone (760) 631-5888

Organizations & group practices 6

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1730638560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT STE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT STE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 W San Marcos Blvd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920781142",
            "country_code": "US",
            "telephone_number": "760-471-2440",
            "fax_number": "760-471-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Lane Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144525",
            "country_code": "US",
            "telephone_number": "619-656-5102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.