Individual provider Active NPI

Jeffrey A Dunbar, P.T.

  • Physical Therapist
  • Canoga Park, CA
National Provider Identifier
1497849038
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21281 Issued in CA
Practice address
22139 Sherman Way
Canoga Park, CA 91303-1137
Phone
(818) 348-0580
Fax
(818) 346-5948
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21281 CA
Physical Therapist 225100000X PT21281 CA Primary

Addresses

Primary practice location

22139 Sherman Way
Canoga Park, CA 91303-1137

Mailing address

22139 Sherman Way
Canoga Park, CA 91303-1137
Phone (818) 348-0580

Other practice location 1

23101 Sherman Pl. # 150
WestHills, CA 91307
Phone (818) 348-0580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000816 CA Practitioner - Physical Therapist in Private Practice 4385623917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22139 Sherman Way
Canoga Park, CA 91303-1137
Phone (818) 348-0580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21281CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Dynamics & Sports Medicine Inc Physical Therapist CurrentSince Jul 1, 2004 Accepting new patients

Locations

22139 Sherman Way
Canoga Park, CA 91303
Phone (818) 348-0580

23101 Sherman Pl
Ste 150
West Hills, CA 91307
Phone (818) 887-7667

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1497849038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22139 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031137",
            "telephone_number": "818-348-0580",
            "fax_number": "818-348-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22139 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031137",
            "telephone_number": "818-348-0580",
            "fax_number": "818-346-5948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23101 Sherman Pl. # 150",
            "address_purpose": "LOCATION",
            "city": "WestHills",
            "state": "CA",
            "postal_code": "91307",
            "country_code": "US",
            "telephone_number": "818-348-0580",
            "fax_number": "818-346-5948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "21281",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.