Jonathan Koza, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35532 Issued in CA

Practice address

3300 Franklin St
Anderson, CA 96007-3279

Phone

(530) 524-7200

NPI assigned

Feb 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1073144614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 FRANKLIN ST",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 FRANKLIN ST",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073279",
            "telephone_number": "530-524-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Barney Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "CA",
            "postal_code": "960074337",
            "country_code": "US",
            "telephone_number": "530-524-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZA",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Redding",
            "affiliation": "N",
            "address_1": "1920 Barney Rd",
            "city": "Anderson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960074337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Anderson, CA
• Providers in Anderson, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.