Individual provider Active NPI

Jacqueline McGee, DPT

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1194217133
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294790 Issued in CA
Practice address
3070 Madison St
Carlsbad, CA 92008-2310
Phone
(760) 591-7750
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 294790 CA Primary

Addresses

Primary practice location

3070 Madison St
Carlsbad, CA 92008-2310

Mailing address

11004 Creekbridge PL
San Diego, CA 92128-5103
Phone (858) 395-1388

Other practice location 1

1815 E Valley Pkwy Ste 5
Escondido, CA 92027-2550
Phone (760) 233-9655

Other identifiers 1

IdentifierTypeStateIssuer
294790OtherCAPT LICENSE

Other names 1

  • Jacqueline Parente Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017003396 CA Practitioner - Physical Therapist in Private Practice 2466704515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294790CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince Jul 23, 2018 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Multi-Specialty CurrentSince Jul 23, 2018 Accepting new patients
California Luna Care Physical Therapy PC Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Multi-Specialty Current Accepting new patients

Locations

3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100

1815 E Valley Pkwy
Ste 5
Escondido, CA 92027
Phone (760) 233-9655

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

850 Main St
Ste 105
Ramona, CA 92065
Phone (760) 789-1424

9909 Mira Mesa Blvd
Ste 120
San Diego, CA 92131
Phone (858) 693-0436

9888 Carmel Mountain Rd
Ste J
San Diego, CA 92129
Phone (858) 207-4481

9909 Mira Mesa Blvd
Ste 12
San Diego, CA 92131
Phone (858) 693-0436

935 W San Marcos Blvd
Ste 102
San Marcos, CA 92078
Phone (760) 471-2440

9830 Prospect Ave
Ste A
Santee, CA 92071
Phone (619) 448-4860

2067 W Vista Way
Ste 185
Vista, CA 92083
Phone (760) 631-5888

Organizations & group practices 4

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1194217133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11004 CREEKBRIDGE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921285103",
            "telephone_number": "858-395-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Valley Pkwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920272550",
            "country_code": "US",
            "telephone_number": "760-233-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "294790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "PARENTE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.