Jenna Mayeda-Jones, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300418 Issued in CA

Practice address

3760 Convoy St Ste 100
San Diego, CA 92111-3743

Phone

(858) 573-9368

NPI assigned

Jul 30, 2021

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

Medicare fee-for-service enrollment

Enrolled in CA, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denver Physical Therapy, P.C.Group PAC ID 2961316500, 61 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.

• Denver Physical Therapy, P.C.

  dba Proactive Greeley

  • Physical Therapist
  • Greeley, CO
  • NPI 1154593960
  Medicare reassignment Care Compare group NPD
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• Denver Physical Therapy, P.C.

  • Physical Therapist
  • Denver, CO
  • NPI 1912717000
  NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1326711854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 51ST ST APT 32",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-573-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEDA-JONES",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herrick Mayang
• Shadi Mayasy, M.D.
• Christopher S Mayberry, PA
• Jinni Maybush
• Jacqueline Elisabeth Maye, PH.D.
• Dolan Shig Mayeda, DC
• Shaye Krislen Mayeda
• Jazminne Anahy Mayen Pena, OTR/L
• Laura J Mayenknecht, NRP
• Brandan Mayer Blackwell, M.D

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.