Individual provider Active NPI

Terri Ann McMains, PT,DPT

  • Geriatric Physical Therapist
  • El Centro, CA
National Provider Identifier
1972658763
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
8047 Issued in CA
Practice address
1528 S Waterman Ave
El Centro, CA 92243-4142
Phone
(760) 554-1244
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 8047 CA Primary

Addresses

Primary practice location

1528 S Waterman Ave
El Centro, CA 92243-4142

Mailing address

PO Box 57
53 West Palo Alto Avenue
Ocotillo, CA 92259
Phone (760) 554-1244

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8074CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Innovations PastSince Jan 1, 1990 Accepting new patients
Andrea Montijo Geriatrics Past Accepting new patients
Andrea Montijo Past Accepting new patients

Organizations & group practices 3

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1972658763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "address_2": "53 WEST PALO ALTO AVENUE",
            "city": "OCOTILLO",
            "state": "CA",
            "postal_code": "92259",
            "telephone_number": "760-554-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 S WATERMAN AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434142",
            "telephone_number": "760-554-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAINS",
        "first_name": "TERRI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "8047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.