Individual provider Active NPI

Jared Michael Dunn, PT

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1235317066
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34454 Issued in CA
Practice address
221 W Fir Ave Ste 105
Clovis, CA 93611-0223
Phone
(559) 325-3444
Fax
(559) 325-7444
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X PT34454 CA
Physical Therapist 225100000X PT34454 CA Primary
Geriatric Physical Therapist 2251G0304X PT34454 CA
Hand Physical Therapist 2251H1200X PT34454 CA
Neurology Physical Therapist 2251N0400X PT34454 CA
Pediatric Physical Therapist 2251P0200X PT34454 CA
Sports Physical Therapist 2251S0007X PT34454 CA
Orthopedic Physical Therapist 2251X0800X PT34454 CA

Addresses

Primary practice location

221 W Fir Ave Ste 105
Clovis, CA 93611-0223

Mailing address

221 W Fir Ave Ste 105
Clovis, CA 93611-0223
Phone (559) 325-3444

Other identifiers 1

IdentifierTypeStateIssuer
PT34454OtherCAPT LICENSE

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

LicenseStateTypeSpecialty
PT34454CAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy Physical Therapist CurrentSince May 8, 2017 Accepting new patients
Bacci and Glinn Physical Therapy Inc Past Accepting new patients
Gigi Inc Physical Therapist PastSince Jul 3, 2018 Accepting new patients
Bacci and Glinn Physical Therapy Inc Past Accepting new patients

Locations

221 W Fir Ave
Ste 105
Clovis, CA 93611
Phone (559) 325-3411

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1235317066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE STE 105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110223",
            "telephone_number": "559-325-3444",
            "fax_number": "559-325-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE STE 105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110223",
            "telephone_number": "559-325-3444",
            "fax_number": "559-325-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT34454",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34454",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT34454",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "PT34454",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT34454",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT34454",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT34454",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT34454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT34454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.