Individual provider Active NPI

Jinal Vora

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1306345160
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9909 Mira Mesa Blvd Ste 120
San Diego, CA 92131-1060
Phone
(858) 693-0436
Fax
(858) 693-0437
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9909 Mira Mesa Blvd Ste 120
San Diego, CA 92131-1060

Mailing address

3070 Madison St
Carlsbad, CA 92008-2310

Other practice location 1

1310 3rd Ave
Chula Vista, CA 91911-4371
Phone (619) 420-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180419001853 CA Practitioner - Physical Therapist in Private Practice 8820350879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Barbara Jean Boutelle Carlsbad Physical TherapyGroup PAC ID 4082527189, 15 clinicians

Practice addresses (Care Compare)

3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 434-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince Dec 13, 2024 Accepting new patients
MKC Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Nexus Physical Therapy Physical Therapist CurrentSince Feb 7, 2018 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince Dec 13, 2024 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Past Accepting new patients

Locations

3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100

1310 3rd Ave
Chula Vista, CA 91911
Phone (619) 420-0869

860 Jamacha Rd
Ste 203
El Cajon, CA 92019
Phone (619) 573-6373

9909 Mira Mesa Blvd
Ste 120
San Diego, CA 92131
Phone (858) 693-0436

3200 4th Ave
Ste 100
San Diego, CA 92103
Phone (619) 293-3994

3191 Sports Arena Blvd
Ste B
San Diego, CA 92110
Phone (619) 226-4131

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1306345160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MIRA MESA BLVD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311060",
            "telephone_number": "858-693-0436",
            "fax_number": "858-693-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919114371",
            "country_code": "US",
            "telephone_number": "619-420-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VORA",
        "first_name": "JINAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.