Active NPI
Jennifer L. Nault, P.T.
- Physical Therapist
- Fullerton, CA
National Provider Identifier
1073710752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33738
- Practice address
- 1027 N Harbor Blvd Ste B
Fullerton, CA 92832-1362 - Phone
- (714) 870-8478
- NPI assigned
- Jun 27, 2007
- 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 Therapist | 225100000X | PT33738 | CA | Primary |
Addresses
Primary practice location
1027 N Harbor Blvd Ste B
Fullerton, CA 92832-1362
Mailing address
1027 N Harbor Blvd Ste B
Fullerton, CA 92832-1362
Phone (714) 870-8478
Other practice location 1
10725 Zelzah Ave
Suite B
Granada Hills, CA 91344-4431
Phone (818) 832-8383
Other names 1
- Jennifer L. O'Neil
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer@corept.net | ||
| Direct Messaging Address | jennifer@corept.net |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33738 | CA | MD | General Practice Dentistry |
| PT33738 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Progressive Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Murrieta, CA
- NPI 1750559431
-
- Physical Therapy Clinic/Center
- Tarzana, CA
- NPI 1184605586
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1073710752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 N HARBOR BLVD STE B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321362",
"telephone_number": "714-870-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 N HARBOR BLVD STE B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321362",
"telephone_number": "714-870-8478"
}
],
"practiceLocations": [
{
"address_1": "10725 Zelzah Ave",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Granada Hills",
"state": "CA",
"postal_code": "913444431",
"country_code": "US",
"telephone_number": "818-832-8383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAULT",
"first_name": "JENNIFER",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT33738",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer@corept.net",
"affiliation": "Y",
"address_1": "1027 N Harbor Blvd Ste B",
"city": "Fullerton",
"state": "CA",
"country_code": "US",
"postal_code": "928321362",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer@corept.net",
"affiliation": "N",
"address_1": "1027 N Harbor Blvd Ste B",
"city": "Fullerton",
"state": "CA",
"country_code": "US",
"postal_code": "928321362",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "O'NEIL",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.