Jenelle Patricia Christian

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT294053 Issued in CA

Practice address

3809 Plaza Dr Ste 112
Oceanside, CA 92056-4625

Phone

(760) 941-2630

Fax

(760) 941-4617

NPI assigned

Nov 22, 2017

Last updated

Jun 16, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Coast Physical Therapy, Inc.Group PAC ID 0941279335, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Coast Physical Therapy Inc

  dba North Coast Physical Therapy

  • Physical Therapist
  • Oceanside, CA
  • NPI 1689738627
  Medicare reassignment Care Compare group NPD
• Gaspar Physical Therapy a Professional Corporation

  dba Doctors of Physical Therapy

  • Specialist
  • Carlsbad, CA
  • NPI 1952544405
  Medicare reassignment NPD
• Gaspar Physical Therapy a Professional Corporation

  dba Doctors of Physical Therapy

  • Specialist
  • Carlsbad, CA
  • NPI 1851664072
  NPD

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1295249597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 PLAZA DR STE 112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564625",
            "telephone_number": "760-941-2630",
            "fax_number": "760-941-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 PLAZA DR STE 112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564625",
            "telephone_number": "760-941-2630",
            "fax_number": "760-941-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "JENELLE",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT294053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICAL THERAPY LICENSE",
            "identifier": "PT294053",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nubia Amparo Chong, M.D.
• Kwangmyung Choo, L.AC., O.M.D.
• Chris K Guerin (Tri-City Endocrinology and Metabolism)
• Justin James Ray Christensen, NPC
• Steve Christensen, D.O.
• Christopher P Raggio MD Apc
• Themios Nicholas Christy, DDS
• Jayden H Chun, DDS, MS
• Thomas L. Chung, D.O.
• Elizabeth Cianci, RN

• Specialist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.