Individual provider Active NPI

Jada Helberg, PTA

  • Physical Therapy Assistant
  • Anaheim, CA
National Provider Identifier
1275286361
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
51648 Issued in CA
Practice address
140 S Chaparral CT
Anaheim, CA 92808-2239
Phone
(714) 794-5889
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 51648 CA Primary

Addresses

Primary practice location

140 S Chaparral CT
Anaheim, CA 92808-2239

Mailing address

140 S Chaparral CT
Anaheim, CA 92808-2239

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Anaheim

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51648CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1275286361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082239",
            "telephone_number": "714-794-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELBERG",
        "first_name": "JADA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anaheim",
            "affiliation": "N",
            "address_1": "140 S Chaparral Ct",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928082239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.