Individual provider Active NPI

Jayme Leigh Cargnoni, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1164079109
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297126 Issued in CA
Practice address
12692 Cabezon PL
San Diego, CA 92129-3013
Phone
(858) 472-3772
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 PT297126 CA Primary

Addresses

Primary practice location

12692 Cabezon PL
San Diego, CA 92129-3013

Mailing address

4341 Piedmont Ave
Ste 201
Oakland, CA 94611-4792
Phone (510) 547-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016003481 CA Practitioner - Physical Therapist in Private Practice 3577894880 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Gaspar Physical Therapy a Professional CorporationGroup PAC ID 0648165761, 38 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Rise Physical Therapy IncGroup PAC ID 2062636079, 55 clinicians

Practice addresses (Care Compare)

1004 N El Camino Real
Encinitas, CA 92024-1320
Phone (760) 632-6942

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

5550 Carmel Mountain Rd
Suite 208B
San Diego, CA 92130-4861
Phone (858) 755-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297126CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen J. Grace RPT Apc Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 5, 2022 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Jun 14, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Jun 14, 2023 Accepting new patients
Rise Physical Therapy Inc Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Embody Yoga & Physical Therapy Centers Inc Physical Therapist PastSince Aug 15, 2020 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

2245 Camino Vida Roble
Ste 103
Carlsbad, CA 92011
Phone (760) 683-8959

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

488 E Valley Pkwy
Ste 315
Escondido, CA 92025
Phone (619) 489-5555

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

11468 Sorrento Valley Rd
Ste A
San Diego, CA 92121
Phone (858) 457-3545

4435 Eastgate Mall
Ste 120
San Diego, CA 92121
Phone (858) 578-8669

5550 Carmel Mountain Rd
Ste 208B
San Diego, CA 92130
Phone (760) 261-9814

380 Stevens Ave
Ste 314
Solana Beach, CA 92075
Phone 858755520024

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1164079109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 PIEDMONT AVE",
            "address_2": "STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114792",
            "telephone_number": "510-547-1630",
            "fax_number": "510-923-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12692 CABEZON PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293013",
            "telephone_number": "858-472-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGNONI",
        "first_name": "JAYME",
        "middle_name": "LEIGH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.