Active NPI
Gina Okerson, PTA
- Physical Therapy Assistant
- Clovis, CA
National Provider Identifier
1043868896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 50220
- Practice address
- 1823 Shaw Ave Ste 101
Clovis, CA 93611-4064 - Phone
- (559) 298-9120
- Fax
- (559) 298-0822
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 50220 | CA | Primary |
Addresses
Primary practice location
1823 Shaw Ave Ste 101
Clovis, CA 93611-4064
Mailing address
2334 Lincoln Ave
Clovis, CA 93611-6208
Phone (559) 770-5509
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50220 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mooneyham Physical Therapy, Inc | Current | Accepting new patients |
Locations
1823 Shaw Ave
Ste 101
Clovis, CA 93611
Phone (559) 298-9120
Organizations & group practices 1
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.
-
- Physical Therapist
- Clovis, CA
- NPI 1457826521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1043868896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 LINCOLN AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116208",
"telephone_number": "559-770-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 SHAW AVE STE 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114064",
"telephone_number": "559-298-9120",
"fax_number": "559-298-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKERSON",
"first_name": "GINA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "50220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.