Active NPI
M a C T Health Board, Incorporated
Doing business as MACT Physical Therapy, Jackson
- Federally Qualified Health Center (FQHC)
- Jackson, CA
National Provider Identifier
1992618383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- M A C T HEALTH BOARD, INCORPORATED
- Doing business as
- MACT Physical Therapy, Jackson
- Practice address
- 525 Highway 49
Suite 5 & 6
Jackson, CA 95642-2554 - Phone
- (209) 257-2430
- Fax
- (209) 660-2041
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariela Contreras, MBA
- Title
- Executive Director
- Phone
- (209) 754-6262
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary | |
| Physical Therapy Clinic/Center | 261QP2000X | NU |
Addresses
Primary practice location
525 Highway 49
Suite 5 & 6
Jackson, CA 95642-2554
Mailing address
PO Box 939
Angels Camp, CA 95222-0939
Phone (209) 754-6262
Other names 1
- MACT Physical Therapy, Jackson
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1992618383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 939",
"city": "ANGELS CAMP",
"state": "CA",
"postal_code": "952220939",
"telephone_number": "209-754-6262",
"fax_number": "209-736-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 HIGHWAY 49",
"address_2": "SUITE 5 & 6",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422554",
"telephone_number": "209-257-2430",
"fax_number": "209-660-2041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M A C T HEALTH BOARD, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "CONTRERAS",
"authorized_official_first_name": "MARIELA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "209-754-6262",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MACT Physical Therapy, Jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, CA
- Cassidy Lobaugh, RN
- Longs Drug Stores California LLC (CVS Pharmacy #09233)
- M a C T Health Board Incorporated (MACT Medical Jackson)
- M a C T Health Board, Incorporated
- M a C T Health Board, Incorporated
- Jaskaren Mahal
- Suzanne Markus, PHARMD
- Denise P. Mathre, D.C.
- Janice Marie MC George, O.D.
- Jessica Anne McCarthy, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.