Individual provider Active NPI

Jonathan Michael Yeh, P.T.

  • Physical Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1649458225
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 29580 Issued in CA
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

Updated by the provider on May 3, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20080411000664 CA Practitioner - Physical Therapist in Private Practice 0749367928 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT 29580CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosport Physical Therapy Professionals Inc Physical Therapist CurrentSince Jan 12, 2022 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.

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.

Verify at the official NPI Registry.