Individual provider Active NPI

Jennifer L. Nault, P.T.

  • Physical Therapist
  • Fullerton, CA
National Provider Identifier
1073710752
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33738 Issued in CA
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
33738CAMDGeneral Practice Dentistry
PT33738CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist PastSince Oct 1, 2022 Accepting new patients
Progressive Physical Therapy Inc Physical Therapist PastSince Apr 1, 1999 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.

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.

Verify at the official NPI Registry.