NPIMap

Organization Active NPI

JBP Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Northridge, CA
National Provider Identifier
1043572217
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT36869 Issued in CA
Legal business name
JBP PHYSICAL THERAPY CORPORATION
Practice address
9545 Reseda Blvd
Unit 3,4
Northridge, CA 91324-2312
Phone
(415) 238-6470
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Mrs. Jaina Bhagat Patel, DPTNPI 1619083045
Title
Physical Therapist
Phone
(415) 238-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT36869 CA Primary

Addresses

Primary practice location

9545 Reseda Blvd
Unit 3,4
Northridge, CA 91324-2312

Mailing address

9545 Reseda Blvd
Unit 3,4
Northridge, CA 91324
Phone (415) 238-6470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120817000166 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668628090 Receives reassigned benefits from 2 practitioners
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

9545 Reseda Blvd
Ste 3
Northridge, CA 91324
Phone (818) 886-2005

9545 Reseda Blvd
Ste 409
Northridge, CA 91324

9545 Reseda Blvd
Ste 34
Northridge, CA 91324

9545 Reseda Blvd
Unit 34
Northridge, CA 91324
Phone (415) 238-6470

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1043572217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 RESEDA BLVD",
            "address_2": "UNIT 3,4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "415-238-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 RESEDA BLVD",
            "address_2": "UNIT 3,4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242312",
            "telephone_number": "415-238-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBP PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAINA",
        "authorized_official_middle_name": "BHAGAT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "415-238-6470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT36869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.