Jo Anne Carpenter, PT
Individual provider Active NPI Pediatric Physical Therapist · Cypress, CA
NPI 1376778282 · NPPES record last updated May 20, 2009
Key facts
- NPI
- 1376778282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- PT24154 (CA)
- Practice address
- 11105 Knott Ave
Suite a
Cypress, CA 90630-5137 - Phone
- (714) 893-7399
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24154 | CA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Pediatric Physical Therapy, Inc | Pediatrics | Past | Accepting new patients |
| Childrens Learning Connection, LLC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT24154 | CA | Yes |
Addresses
Primary practice location
11105 Knott Ave
Suite a
Cypress, CA 90630-5137
Mailing address
11105 Knott Ave
Suite a
Cypress, CA 90630-5137
Other providers in Cypress, CA
- California Pacific Physicians Medical Group, Inc.
- Sarah Candelas
- Carbon Health Medical Group of California PC
- Caretech Home Health, Inc.
- Caring Wheels Transport
- Sonia A Cartagena
- Deborah Ann Cartwright
- Leslie A Castillo
- Krizha Castrence
- Central Medical Diagnostic Laboratory, Inc
All providers in Cypress, CA · Pediatric Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.