Jennie Deignan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304469 Issued in CA

Practice address

197 Avenida la Pata
San Clemente, CA 92673-6307

Phone

(949) 401-2060

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1417735168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GEMA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926729409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 AVENIDA LA PATA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736307",
            "telephone_number": "949-401-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIGNAN",
        "first_name": "JENNIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Sports Consultants Physical Therapy Inc (DSC Performance Physical Therapy)
• Victoria Deangelo
• Lauren Deats, NP
• Lauren Michele Degroat, RBT
• Michelle Dehn, PA-C
• Teresa Delatolla Fiano, PT
• Chloe Demore, RBT
• Robert Stephen Demoss Jr.
• Wade Justin Denes, LMFT
• Jennifer Denney, AMFT

• Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.