Individual provider Active NPI

Jonathon Myers, PT, DPT

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1487179008
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293264 Issued in CA
Practice address
801 N Tustin Ave Ste 407
Santa Ana, CA 92705-3608
Phone
(702) 281-4772
Fax
(714) 862-2124
NPI assigned
Aug 4, 2017
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293264 CA Primary

Addresses

Primary practice location

801 N Tustin Ave Ste 407
Santa Ana, CA 92705-3608

Mailing address

801 N Tustin Ave Ste 407
Santa Ana, CA 92705-3608
Phone (714) 862-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171222000814 CA Practitioner - Physical Therapist in Private Practice 8123386083 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Physical Therapy IncGroup PAC ID 9234297771, 27 clinicians

Practice addresses (Care Compare)

25565 Jeronimo Rd
Mission Viejo, CA 92691-2707
Phone (949) 627-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293264CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Total Body Physical Therapy, P.C. Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
Reekstin Enterprises Inc. Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Sep 9, 2020 Accepting new patients
Reach Physical Therapy Network Physical Therapist CurrentSince Jun 9, 2022 Accepting new patients
Southland Physical Therapy, Inc. Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients

Locations

120 S Chaparral Ct
Ste 150
Anaheim, CA 92808
Phone (714) 998-9580

1027 N Harbor Blvd
Ste B
Fullerton, CA 92832
Phone (714) 870-8478

4482 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 679-3337

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

25565 Jeronimo Rd
Mission Viejo, CA 92691
Phone (949) 627-8800

801 N Tustin Ave
Ste 407
Santa Ana, CA 92705
Phone (714) 565-0702

41278 Margarita Rd
Ste 102
Temecula, CA 92591
Phone (951) 587-8105

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1487179008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 407",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053608",
            "telephone_number": "714-862-2123",
            "fax_number": "714-862-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 407",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053608",
            "telephone_number": "702-281-4772",
            "fax_number": "714-862-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JONATHON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293264",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 29, 2022; 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.

Verify at the official NPI Registry.