Jane Christabelle Podrebarac, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23464 Issued in CA

Practice address

79 E Highland Ave
Apt. D
Sierra Madre, CA 91024-1945

Phone

(626) 836-3129

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jane Christabelle Taylor Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cozby Physical Therapy and Consulting

  • Physical Therapy Clinic/Center
  • South Pasadena, CA
  • NPI 1285168997

  Physical Therapist

  Medicare reassignment NPD
• On the Move Physical Therapy, P.C.

  • Physical Therapist
  • Sierra Madre, CA
  • NPI 1760428304
  Medicare reassignment NPD

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1114288065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E HIGHLAND AVE",
            "address_2": "APT. D",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241945",
            "telephone_number": "626-836-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E HIGHLAND AVE",
            "address_2": "APT. D",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241945",
            "telephone_number": "626-836-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODREBARAC",
        "first_name": "JANE",
        "middle_name": "CHRISTABELLE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "TAYLOR",
            "middle_name": "CHRISTABELLE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tina Paul
• Mallary Pedroza
• Fernando Pelaez
• James Allen Kraft Peterson, D.O.
• Catherine Bernadette Pileggi, AMFT
• Praxis: a Psychotherapy Practice
• Marion Lorraine Price, LMFT
• Sandra L.D. Rader, PH.D.
• Ada Lissette Ramirez
• Brittany Reid

• Physical Therapist in Sierra Madre, CA
• Providers in Sierra Madre, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.