James Francis Donovan, PT, DPT
Individual provider Active NPI Physical Therapist · Newport Beach, CA
NPI 1467053280 · NPPES record last updated Nov 7, 2020
Key facts
- NPI
- 1467053280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 299386 (CA)
- Practice address
- 22 Corporate Plaza Dr # 113
Newport Beach, CA 92660-7985 - Phone
- (949) 722-5054
- NPI assigned
- Nov 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211115002335 | CA | Practitioner - Physical Therapist in Private Practice | 8224427109 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299386 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Peninsula Physical Therapy Inc. | Physical Therapist | Current |
Accepting new patients |
| Pacific Physical Therapy | Physical Therapist | Past |
Accepting new patients |
| California Therapy Solutions | Past |
Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
550 Deep Valley Dr
Ste 297
Rolling Hills Estates, CA 90274
Phone (310) 544-6264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299386 | CA | Yes |
Addresses
Primary practice location
22 Corporate Plaza Dr # 113
Newport Beach, CA 92660-7985
Mailing address
1100 Calle del Cerro Apt 151L
San Clemente, CA 92672-6029
Phone (845) 901-9397
Other providers in Newport Beach, CA
- Don F. Mills, M.D.
- Donald R. Abrahm M.D., Inc
- Donald S. Mowlds, M.D., a Professional Corporation
- Dorene Kay Donayre
- Elizabeth Ann Donovan
- Lesley Donovan
- Bryan Charles Doonan
- Tyler Doornink
- Rachel Dore
- Gary Dorf
All providers in Newport Beach, CA · 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 Nov 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.