Individual provider Active NPI

Jamie O'Fallon, DPT

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1548507718
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 39501 Issued in CA
Practice address
40980 County Center Dr Ste 200
Temecula, CA 92591-6002
Phone
(951) 296-0400
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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 PT 39501 CA Primary

Addresses

Primary practice location

40980 County Center Dr Ste 200
Temecula, CA 92591-6002

Mailing address

32040 Camino Herencia
Temecula, CA 92592-3837
Phone (858) 382-4842

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 39501CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Womens Health Physical Therapy PC Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Empowered Womens Health LLC Physical Therapist CurrentSince Jun 16, 2024 Accepting new patients
Mangan Physical Therapy Inc Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients

Locations

29377 Rancho California Rd
Ste 100
Temecula, CA 92591
Phone (951) 296-0400

40980 County Center Dr
Ste 200
Temecula, CA 92591
Phone (951) 296-0400

Organizations & group practices 3

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1548507718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32040 CAMINO HERENCIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923837",
            "telephone_number": "858-382-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40980 COUNTY CENTER DR STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916002",
            "telephone_number": "951-296-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FALLON",
        "first_name": "JAMIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 39501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.