Active NPI
Alaina Dumonceaux, PTA
- Physical Therapy Assistant
- Santa Ana, CA
National Provider Identifier
1487102737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 11143
- Practice address
- 2101 E 4TH St Ste 140a
Santa Ana, CA 92705-3866 - Phone
- (714) 884-4736
- NPI assigned
- Sep 15, 2016
- 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 Therapy Assistant | 225200000X | 11143 | CA | Primary |
Addresses
Primary practice location
2101 E 4TH St Ste 140a
Santa Ana, CA 92705-3866
Mailing address
101 W Mission Blvd Ste 110
Pomona, CA 91766-1799
Phone (909) 620-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11143 | Other | CA | PTA LICENSE |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Physical Therapy Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Pomona, CA
- NPI 1902079452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1487102737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MISSION BLVD STE 110",
"city": "POMONA",
"state": "CA",
"postal_code": "917661799",
"telephone_number": "909-620-9700",
"fax_number": "909-620-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E 4TH ST STE 140A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053866",
"telephone_number": "714-884-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMONCEAUX",
"first_name": "ALAINA",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "11143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "11143",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.