Jacqueline Naranjo-Bernabe, PTA
Individual provider Active NPI Physical Therapy Assistant · Freedom, CA
NPI 1013899608 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1013899608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 54191 (CA)
- Practice address
- 212 Green Valley Rd
Freedom, CA 95019-3135 - Phone
- (831) 536-5115
- Fax
- (831) 233-3358
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. B. Physical Therapy, Inc. | Current |
Accepting new patients |
Locations
212 Green Valley Rd
Freedom, CA 95019
Phone (831) 536-5115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 54191 | CA | Yes |
Addresses
Primary practice location
212 Green Valley Rd
Freedom, CA 95019-3135
Mailing address
212 Green Valley Rd
Freedom, CA 95019-3135
Other providers in Freedom, CA
- Atletli Venicia Morales
- Yeovana Morales
- Jacqueline Morris-Lopez
- Maira Paulina Munoz
- Michael Murphy
- Eric Nguyen
- Tea Tu Nguyen
- Trieu Nguyen
- Northern Nursing Anesthesia Services PC
- Robert D Northern Jr.
All providers in Freedom, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.