Active NPI
Jane Maryoung, R.P.T.
- Physical Therapist
- Thousand Oaks, CA
National Provider Identifier
1346256559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008169
- Practice address
- 375 Rolling Oaks Dr
Suite 200
Thousand Oaks, CA 91361-1023 - Phone
- (805) 497-9481
- Fax
- (805) 497-3416
- NPI assigned
- Jul 31, 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 | PT008169 | CA | Primary |
Addresses
Primary practice location
375 Rolling Oaks Dr
Suite 200
Thousand Oaks, CA 91361-1023
Mailing address
1148 Arcane St
Simi Valley, CA 93065-4407
Phone (805) 527-8389
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 |
|---|---|---|---|
| PT008169 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346256559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 ARCANE ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930654407",
"telephone_number": "805-527-8389",
"fax_number": "805-497-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 ROLLING OAKS DR",
"address_2": "SUITE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611023",
"telephone_number": "805-497-9481",
"fax_number": "805-497-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARYOUNG",
"first_name": "JANE",
"name_prefix": "Ms.",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT008169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, 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.