Georgina Jones, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1679 Issued in CA

Practice address

121 Boatyard Dr
Ste a
Fort Bragg, CA 95437-5751

Phone

(707) 964-1208

Fax

(707) 964-2269

NPI assigned

Jun 9, 2005

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1598769325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31801 HIGHWAY 20",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954379275",
            "telephone_number": "707-964-1983",
            "fax_number": "707-964-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BOATYARD DR",
            "address_2": "STE A",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375751",
            "telephone_number": "707-964-1208",
            "fax_number": "707-964-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GEORGINA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT1679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0016790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason D Moore (Coast Family Acupuncture)
• Richard William Jaulus, LCSW
• Charles C Jenkins, MD
• John a. Kermen, D.O.
• Marty Christine Johnson, L.M.F.T. CA.
• Joseph Beeney PH D Psychologist Inc
• Madhup Joshi, MD
• Tantah Anna Karst, CARE MANAGER 1
• Stella Grace Katisi
• Hilary Kaye, NP

• Physical Therapist in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.