Active NPI
Janet Ma, DPT
- Physical Therapist
- Fountain Valley, CA
National Provider Identifier
1467838292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT291885
- Practice address
- 11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055 - Phone
- (714) 850-7300
- Fax
- (714) 850-7310
- NPI assigned
- Aug 4, 2015
- Last updated
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT291885 | CA | Primary |
Addresses
Primary practice location
11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055
Mailing address
11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055
Phone (714) 850-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT291885 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1467838292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 WARNER AVE STE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055",
"telephone_number": "714-850-7300",
"fax_number": "714-850-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 WARNER AVE STE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055",
"telephone_number": "714-850-7300",
"fax_number": "714-850-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "JANET",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT291885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.