Active NPI
Kendall Noel Jones, PTA
- Physical Therapy Assistant
- San Juan Capistrano, CA
National Provider Identifier
1619733144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 49239
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 49239 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Sport Physical Therapy, Inc | Current | 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.
-
- Physical Therapist
- San Juan Capistrano, CA
- NPI 1033142013
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.