Individual provider Active NPI

Joane E Chamberlain, PT MOMT

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1669684635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10625 Issued in CA
Practice address
911 Vivian Circle
Thousand Oaks, CA 91320
Phone
(805) 777-7172
Fax
(805) 499-7033
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT10625 CA Primary

Addresses

Primary practice location

911 Vivian Circle
Thousand Oaks, CA 91320

Mailing address

911 Vivian Circle
Thousand Oaks, CA 91320
Phone (805) 777-7172

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10625CAMDPhysical Therapist
10625CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Physical Medicine and Wellness Center, Inc. PastSince Jan 20, 2023 Accepting new patients

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669684635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 VIVIAN CIRCLE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-777-7172",
            "fax_number": "805-499-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 VIVIAN CIRCLE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-777-7172",
            "fax_number": "805-499-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "JOANE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT MOMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.