Active NPI
Myrna Lois Phillips-Jones, BS
- Occupational Therapist
- Pittsburg, CA
National Provider Identifier
1053972075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT6497
- Practice address
- 2351 Loveridge Rd
Pittsburg, CA 94565-5117 - Phone
- (925) 427-4444
- NPI assigned
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT6497 | CA | Primary |
Addresses
Primary practice location
2351 Loveridge Rd
Pittsburg, CA 94565-5117
Mailing address
4100 Brown Rd
Oakley, CA 94561-2532
Phone (925) 813-4323
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT6497 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1053972075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 BROWN RD",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945612532",
"telephone_number": "925-813-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 LOVERIDGE RD",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655117",
"telephone_number": "925-427-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS-JONES",
"first_name": "MYRNA",
"middle_name": "LOIS",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT6497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.