Active NPI
Jason Pinili, DPT
- Physical Therapist
- Orange, CA
National Provider Identifier
1225540594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294089
- Practice address
- 871 S Tustin St
Orange, CA 92866-3426 - Phone
- (714) 633-7227
- NPI assigned
- Oct 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0014976 | CO | |
| Physical Therapist | 225100000X | 294089 | CA | Primary |
Addresses
Primary practice location
871 S Tustin St
Orange, CA 92866-3426
Mailing address
871 S Tustin St
Orange, CA 92866-3426
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0014976 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1225540594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928663426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928663426",
"telephone_number": "714-633-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINILI",
"first_name": "JASON",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-26",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0014976",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.