Jenny Rae Quinton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 37053 Issued in CA

Practice address

400 N Mountain Ave
Suite 310
Upland, CA 91786-5176

Phone

(909) 920-6457

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jenny Rae Minnich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Building Blocks Therapy 4 Kids, LLC

  • Pediatric Occupational Therapist
  • San Dimas, CA
  • NPI 1073926051
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1306113675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE",
            "address_2": "SUITE 310",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865176",
            "telephone_number": "909-920-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE",
            "address_2": "SUITE 310",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865176",
            "telephone_number": "909-920-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTON",
        "first_name": "JENNY",
        "middle_name": "RAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 37053",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 37053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "MINNICH",
            "middle_name": "RAE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen M Quevedo
• Twinkle Quiapo-Valido, PT
• Karisa Nicole Quick
• Danielle Quigg, FNP-C
• Carolyn V Quintana, LMFT
• Sarah Madisyn Rabitoy, OTR/L
• Andrew William Radcliffe
• Radiance Hospice & Palliative Care, Inc.
• Vajihe Rahimian
• Monte Rahmaan

• Physical Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.