Active NPI
Jay-Paul Thornburg, D.P.T.
- Orthopedic Physical Therapist
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 42551
- Practice address
- 2625 Shadelands Dr
Walnut Creek, CA 94598-2512 - Phone
- (925) 939-8585
- Fax
- (925) 933-2709
- NPI assigned
- Feb 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42551 | CA | |
| Physical Therapist | 225100000X | 2862 | NV | |
| Orthopedic Physical Therapist | 2251X0800X | 42551 | CA | Primary |
Addresses
Primary practice location
2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Mailing address
PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585
Other practice location 1
6235 S Main St Ste C101
Aurora, CO 80016-5373
Phone (720) 865-6072
Other practice location 2
1248 S Broadway
Denver, CO 80210-1504
Phone (720) 865-6072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sand Creek Rd
Suite a
Brentwood, CA 94513-2539
Phone (925) 939-8585
350 John Muir Pkwy
Suite 155
Brentwood, CA 94513-5190
Phone (925) 939-8585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2862 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Orthopedic Centers of Colorado, LLC | Physical Therapist | Past | Accepting new patients |
| Golden State Orthopedics & Spine | Past | Accepting new patients |
Locations
350 John Muir Pkwy
Ste 155
Brentwood, CA 94513
101 Sand Creek Rd
#A
Brentwood, CA 94513
Phone (925) 978-6959
2490 Sand Creek Rd
Brentwood, CA 94513
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
5201 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 244-9355
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
2625 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 210-8500
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1447674379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31396",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945988396",
"telephone_number": "925-939-8585",
"fax_number": "925-933-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-939-8585",
"fax_number": "925-933-2709"
}
],
"practiceLocations": [
{
"address_1": "6235 S Main St Ste C101",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800165373",
"country_code": "US",
"telephone_number": "720-865-6072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1248 S Broadway",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802101504",
"country_code": "US",
"telephone_number": "720-865-6072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORNBURG",
"first_name": "JAY-PAUL",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42551",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2862",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "42551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.