JBJC Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JBJC INC.

Doing business as

Pine Street Physical & Occupational Therapy

Practice address

525 S Fairmont Ave
Suite G
Lodi, CA 95240-3860

Phone

(209) 339-1690

Fax

(209) 339-1693

NPI assigned

Sep 8, 2014

Last updated

Sep 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John K Bob, DPTNPI 1720163249

Title

DPT / Owner / President

Phone

(209) 451-3920

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pine Street Physical & Occupational Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Bob, D.P.T.

  • Orthopedic Physical Therapist
  • Stockton, CA
  • NPI 1720163249
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1669873782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E PINE ST",
            "address_2": "SUITE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800",
            "fax_number": "209-463-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S FAIRMONT AVE",
            "address_2": "SUITE G",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403860",
            "telephone_number": "209-339-1690",
            "fax_number": "209-339-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBJC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "BOB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DPT / OWNER / PRESIDENT",
        "authorized_official_telephone_number": "209-451-3920",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER (PTAN)",
            "identifier": "ZZZ23015Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Street Physical & Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James DS Kim, MD, Inc.
• James S. Hoff, M.D., a Medical Corporation
• Marissa Jaramillo
• Michelle Jaromay, FNP
• Ripsy Jassal, MD
• Michaela Jensen
• Ryan Jeremic
• Julie Lynn Jerome, FNP
• Sophia Jiang, DMD
• Jogi LLC

• Physical Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.