Active NPI
Jennifer Northcutt, PT, DPT
- Physical Therapist
- Redlands, CA
National Provider Identifier
1134519846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42027
- Practice address
- 245 Terracina Blvd
Suite 105
Redlands, CA 92373-4852 - Phone
- (909) 792-9737
- NPI assigned
- Feb 2, 2015
- 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 | 42027 | CA | Primary |
Addresses
Primary practice location
245 Terracina Blvd
Suite 105
Redlands, CA 92373-4852
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188
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 |
|---|---|---|---|
| 42027 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redlands Community Hospital | Past | Accepting new patients | |
| Beaver Medical Group P C | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1134519846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10069",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230069",
"telephone_number": "909-335-4188",
"fax_number": "909-478-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 TERRACINA BLVD",
"address_2": "SUITE 105",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734852",
"telephone_number": "909-792-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHCUTT",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.