Active NPI
Jonelle M Mills
- Physical Therapist
- Ventura, CA
National Provider Identifier
1497398788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297356
- Practice address
- 2895 Loma Vista Rd Ste H
Ventura, CA 93003-1542 - Phone
- (805) 765-4773
- NPI assigned
- Oct 20, 2019
- Last updated
- Oct 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT027888 | PA | |
| Physical Therapist | 225100000X | PT297356 | CA | Primary |
Addresses
Primary practice location
2895 Loma Vista Rd Ste H
Ventura, CA 93003-1542
Mailing address
2692 Windswept LN
Bath, PA 18014-9260
Phone (610) 392-9303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191223001475 | CA | Practitioner - Physical Therapist in Private Practice | 0143654293 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297356 | CA | MD | Physical Therapist |
| PT027888 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571529600000",
"number": "1497398788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2692 WINDSWEPT LN",
"city": "BATH",
"state": "PA",
"postal_code": "180149260",
"telephone_number": "610-392-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 LOMA VISTA RD STE H",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031542",
"telephone_number": "805-765-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JONELLE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-20",
"last_updated": "2019-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT027888",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.