Active NPI
Jenna Candace Freeman, PT, DPT
- Physical Therapist
- Coronado, CA
National Provider Identifier
1487502241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 309001
- Practice address
- 120 C Ave Ste 110
Coronado, CA 92118-1992 - Phone
- (858) 488-3597
- Fax
- (858) 724-1747
- NPI assigned
- Mar 18, 2026
- 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 | 309001 | CA | Primary |
Addresses
Primary practice location
120 C Ave Ste 110
Coronado, CA 92118-1992
Mailing address
120 C Ave Ste 110
Coronado, CA 92118-1992
Phone (858) 488-3597
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309001 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Water and Sports Physical Therapy, Inc | Physical Therapist | 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
- San Diego, CA
- NPI 1699840934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1487502241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 C AVE STE 110",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181992",
"telephone_number": "858-488-3597",
"fax_number": "858-724-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 C AVE STE 110",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181992",
"telephone_number": "858-488-3597",
"fax_number": "858-724-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JENNA",
"middle_name": "CANDACE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "309001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coronado, CA
- Rosalind Fenton, FNP-BC, GNP-BC
- Firm Foundation Marriage and Family Therapy Inc
- Julia Heather Fitzpatrick, LCSW
- Luzviminda A. Fraser, LVN
- Rebecca L. Frazier, L.AC.
- Laurence Joseph Freitas, ND LAC MPH MPP
- Sophia L Frost
- Angelica Marie Gabriel, PHARMD
- Johnny Garcia, DNP, APRN, NP-C
- Christopher V. Garden, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.