Jennifer Enriquez-Johnson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21496 Issued in CA

Practice address

2401 E Wardlow Rd
Long Beach, CA 90807-5309

Phone

(562) 593-5817

Fax

(562) 982-6735

NPI assigned

Aug 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205942331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 MONTECITO RD",
            "address_2": "3",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075309",
            "telephone_number": "562-593-5817",
            "fax_number": "562-982-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ-JOHNSON",
        "first_name": "JENNIFER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Enloe
• Michele Lynn Eno, M.D.
• Heather Emi Enomoto, MD
• Enrico Dalisay Physical Therapy Inc (Physical Therapy Fitness Team)
• Bartolomea Enrico, RN
• Concepcion A Enriquez, M.D.
• Evelyn Enriquez
• Gilbert Enriquez
• Jocelyn M Enriquez
• Mayra Enriquez

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.