Joanna F Ehrenborg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43617 Issued in CA

Practice address

4595 Contour Blvd
San Diego, CA 92115-3419

Phone

(781) 866-1281

NPI assigned

Nov 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Joanne Ehrenborg Other name

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376798207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 CONTOUR BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153419",
            "telephone_number": "781-866-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 CONTOUR BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153419",
            "telephone_number": "781-866-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENBORG",
        "first_name": "JOANNA",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17864",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT436172",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085285A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "EHRENBORG",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rolf Ehlers, M.D.
• Shannon Ehlers, MFT
• Travis Colin Ehlers, D.C.
• Grace I Ehling
• Colette K Ehnow, M.D.
• Blaire Ehret, PH.D.
• Mary Denise Ehret, LMFT
• Marlene Ehrler, N.D.
• Blair Nicole Ehrlich, RBT
• Jordyn Belle Ehrlich

• 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 21, 2022; 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.