Jme Physical Therapy, PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

25052 Issued in CA

Legal business name

JME PHYSICAL THERAPY, PC

Practice address

20101 SW Birch St
Suite 140
Newport Beach, CA 92660-1748

Phone

(949) 721-7400

Fax

(949) 721-9470

NPI assigned

Apr 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Paige Manetta, PT

Title

President

Phone

(949) 721-9400

Specialties & licenses 1

Addresses

Other names 1

• OrthoSport Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Paige Flores, PT

  • Orthopedic Physical Therapist
  • Newport Beach, CA
  • NPI 1750324141
  Medicare reassignment NPD
• Michael P Taylor, P.T., M.B.A.

  • Orthopedic Physical Therapist
  • Encinitas, CA
  • NPI 1346243342
  NPD

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1356738629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 SW BIRCH ST",
            "address_2": "SUITE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601748",
            "telephone_number": "949-721-7400",
            "fax_number": "949-721-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 SW BIRCH ST",
            "address_2": "SUITE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601748",
            "telephone_number": "949-721-7400",
            "fax_number": "949-721-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JME PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "MANETTA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-721-9400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "25052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoSport Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.