NPIMap

Organization Active NPI

Jennings Physical Therapy, a Professional Corporation

  • Physical Medicine & Rehabilitation Physician
  • Ventura, CA
National Provider Identifier
1245520196
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT 17114 Issued in CA
Legal business name
JENNINGS PHYSICAL THERAPY, A PROFESSIONAL CORPORATION
Practice address
3875 Telegraph Rd
Suite C
Ventura, CA 93003-3419
Phone
(805) 477-0909
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Lia Jennings, RPT
Title
President
Phone
(805) 477-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X PT 17114 CA Primary

Addresses

Primary practice location

3875 Telegraph Rd
Suite C
Ventura, CA 93003-3419

Mailing address

3875 Telegraph Rd
Suite C
Ventura, CA 93003-3419
Phone (805) 477-0909

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1245520196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 TELEGRAPH RD",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033419",
            "telephone_number": "805-477-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 TELEGRAPH RD",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033419",
            "telephone_number": "805-477-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS PHYSICAL THERAPY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-477-0909",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT 17114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.