Individual provider Active NPI

Kendall Noel Jones, PTA

  • Physical Therapy Assistant
  • San Juan Capistrano, CA
National Provider Identifier
1619733144
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
49239 Issued in CA
Practice address
32261 Camino Capistrano Ste D101
San Juan Capistrano, CA 92675-3747
Phone
(949) 429-2155
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 49239 CA Primary

Addresses

Primary practice location

32261 Camino Capistrano Ste D101
San Juan Capistrano, CA 92675-3747

Mailing address

245 San Joaquin St
Laguna Beach, CA 92651-1350
Phone (949) 616-9922

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

LicenseStateTypeSpecialty
49239CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Sport Physical Therapy, Inc CurrentSince Feb 25, 2024 Accepting new patients

Locations

32261 Camino Capistrano
Ste D101
San Juan Capistrano, CA 92675
Phone (949) 429-2155

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1619733144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SAN JOAQUIN ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511350",
            "telephone_number": "949-616-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32261 CAMINO CAPISTRANO STE D101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753747",
            "telephone_number": "949-429-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KENDALL",
        "middle_name": "NOEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.