Active NPI
Jonathan Michael Yeh, P.T.
- Physical Therapist
- San Juan Capistrano, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 29580
- Practice address
- 32302 Camino Capistrano Ste 106
San Juan Capistrano, CA 92675-4505 - Phone
- (949) 276-8845
- Fax
- (949) 276-8847
- NPI assigned
- Feb 5, 2008
- Sex
- Male
- 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 Therapist | 225100000X | PT 29580 | CA | Primary |
Addresses
Primary practice location
32302 Camino Capistrano Ste 106
San Juan Capistrano, CA 92675-4505
Mailing address
32302 Camino Capistrano Ste 106
San Juan Capistrano, CA 92675-4505
Phone (949) 276-8845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32302 Camino Capistrano
Suite 106
San Juan Capistrano, CA 92675-4505
Phone (949) 276-8845
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29580 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current | Accepting new patients |
| California Rehab & Sports Therapy | Past | Accepting new patients | |
| California Rehabilitation & Sports Therapy | Physical Therapist | Past | Accepting new patients |
Locations
26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999
26932 Oso Pkwy
Ste 260
Mission Viejo, CA 92691
Phone (949) 582-0132
32302 Camino Capistrano
Ste 106
San Juan Capistrano, CA 92675
Phone (949) 276-8845
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1073170437
Physical Therapist
-
dba Palos Verdes Physical Therapy
- Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1487648341
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Physical Therapist
- La Habra, CA
- NPI 1750332490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1649458225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32302 CAMINO CAPISTRANO STE 106",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926754505",
"telephone_number": "949-276-8845",
"fax_number": "949-276-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32302 CAMINO CAPISTRANO STE 106",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926754505",
"telephone_number": "949-276-8845",
"fax_number": "949-276-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEH",
"first_name": "JONATHAN",
"middle_name": "MICHAEL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 29580",
"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 May 3, 2024; 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.