Individual provider Active NPI

Montana Jelden, PT, DPT

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1174453369
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
310200 Issued in CA
Practice address
653 Camino de Los Mares Ste 110
San Clemente, CA 92673-2808
Phone
(949) 496-0122
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 310200 CA Primary

Addresses

Primary practice location

653 Camino de Los Mares Ste 110
San Clemente, CA 92673-2808

Mailing address

653 Camino de Los Mares Ste 110
San Clemente, CA 92673-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scor Physical Therapy IncGroup PAC ID 8729973730, 5 clinicians

Practice addresses (Care Compare)

653 Camino de Los Mares
San Clemente, CA 92673-2808
Phone (949) 496-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310200CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scor Physical Therapy Inc Physical Therapist CurrentSince Jun 8, 2026 Accepting new patients

Locations

653 Camino de los Mares
Ste 110
San Clemente, CA 92673
Phone (949) 496-0122

Organizations & group practices 1

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": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1174453369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES STE 110",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES STE 110",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-496-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELDEN",
        "first_name": "MONTANA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "310200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.