Jeanne Marie Conca, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20271 Issued in CA

Practice address

3060 Snows Rd
Camino, CA 95709-9578

Phone

(530) 644-5915

Fax

(530) 644-5576

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356470371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 SLY PARK RD",
            "city": "POLLOCK PINES",
            "state": "CA",
            "postal_code": "957269007",
            "telephone_number": "530-647-2151",
            "fax_number": "530-647-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 SNOWS RD",
            "city": "CAMINO",
            "state": "CA",
            "postal_code": "957099578",
            "telephone_number": "530-644-5915",
            "fax_number": "530-644-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCA",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Caldwell
• Camino Usd
• Xavier Castaneda
• Aria Isabella Clift
• Kayla Coffman
• Jay B Dalto, D.P.T.
• Sara Marie Daniels, RADT-1
• Dana Dean
• Kimberly Sue Dehn, OTR/L
• Kristina Ann Dement

• Physical Therapist in Camino, CA
• Providers in Camino, 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 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.

Verify at the official NPI Registry.