Individual provider Active NPI

Veronica Renee McCarron, PT, DPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1184343105
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12890773-2401 Issued in UT
Practice address
320 Tesconi Cir Ste G
Santa Rosa, CA 95401-4611
Phone
(707) 544-2637
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12890773-2401 UT Primary
Physical Therapist 225100000X 306763 CA

Addresses

Primary practice location

320 Tesconi Cir Ste G
Santa Rosa, CA 95401-4611

Mailing address

20 Anson Rd
Hillsborough, CA 94010-7226
Phone (650) 521-3307

Other practice location 1

3000 N Triumph Blvd Ste 310
Lehi, UT 84043-4999
Phone (801) 766-2088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003227 CA Practitioner - Physical Therapist in Private Practice 2567831597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Physical Therapy PCGroup PAC ID 6406022078, 18 clinicians

Practice addresses (Care Compare)

1427 Grant Ave
Novato, CA 94945-3118
Phone (415) 895-1705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306763CAMDPhysical Therapist
12890773-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jensen Therapy Associates, Inc. Physical Therapist PastSince Sep 6, 2022 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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1184343105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ANSON RD",
            "city": "HILLSBOROUGH",
            "state": "CA",
            "postal_code": "940107226",
            "telephone_number": "650-521-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TESCONI CIR STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014611",
            "telephone_number": "707-544-2637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434999",
            "country_code": "US",
            "telephone_number": "801-766-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "VERONICA",
        "middle_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12890773-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.