Active NPI
Myra O. Jones, PTA
- Physical Therapy Assistant
- Santa Barbara, CA
National Provider Identifier
1194194464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10908
- Practice address
- Building 588, M/C 7002
Santa Barbara, CA 93106-7002 - Phone
- (805) 893-3193
- Fax
- (805) 893-4887
- NPI assigned
- Sep 17, 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 Therapy Assistant | 225200000X | 10908 | CA | Primary |
Addresses
Primary practice location
Building 588, M/C 7002
Santa Barbara, CA 93106-7002
Mailing address
1712 Alcala Dr
Santa Maria, CA 93454-3413
Phone (805) 453-3969
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10908 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1194194464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 ALCALA DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934543413",
"telephone_number": "805-453-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 588, M/C 7002",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931067002",
"telephone_number": "805-893-3193",
"fax_number": "805-893-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MYRA",
"middle_name": "O.",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.