Active NPI
Jojo Jose, RPT
- Physical Therapist
- West Covina, CA
National Provider Identifier
1326112541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17437
- Practice address
- 512 S Glendora Ave
West Covina, CA 91790-3022 - Phone
- (626) 337-2888
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17437 | CA | Primary |
Addresses
Primary practice location
512 S Glendora Ave
West Covina, CA 91790-3022
Mailing address
512 S Glendora Ave
West Covina, CA 91790-3022
Phone (626) 337-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0174370 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17437 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326112541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 S GLENDORA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903022",
"telephone_number": "626-337-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 S GLENDORA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903022",
"telephone_number": "626-337-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "JOJO",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0174370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.