Jeanine Ann McDonell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295914 Issued in CA

Practice address

3901 Las Posas Rd Ste 8
Camarillo, CA 93010-1502

Phone

(805) 585-3607

Fax

(805) 384-1786

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1467921452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD STE 8",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101502",
            "telephone_number": "805-585-3607",
            "fax_number": "805-384-1786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Wankel Way",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930300192",
            "country_code": "US",
            "telephone_number": "805-941-0048",
            "fax_number": "805-988-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONELL",
        "first_name": "JEANINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "295914",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "295914",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "295914",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "3901 Las Posas Rd Ste 8",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930101502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "2221 Wankel Way",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930300192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chloe J McCullen
• Tara McDaniel, M.A., LMFT
• Kirsten McDermott
• Peter Lawrence McDermott, M.D.
• Cheri Lynn McDonald, LMFT
• Arden Jane McDowell, M.S., MFTI
• Shahira Elsherif McElhanon
• Roseann McEvoy, ACSW
• Michael McGill I
• Andrew McGowan

• Physical Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.