Active NPI
Jon S. Rocca, PT
- Physical Therapist
- San Ramon, CA
National Provider Identifier
1720055072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5200
- Practice address
- 200 Porter Dr
Suite 101
San Ramon, CA 94583-1587 - Phone
- (925) 838-1440
- NPI assigned
- Mar 7, 2006
- 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 | PT5200 | CA | Primary |
Addresses
Primary practice location
200 Porter Dr
Suite 101
San Ramon, CA 94583-1587
Mailing address
200 Porter Dr
Suite 101
San Ramon, CA 94583-1587
Phone (925) 838-1440
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT5200 | CA | MD | Physical Therapist |
| 5200 | CA | MD | Emotionally Disturbed Childrens' Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1720055072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PORTER DR",
"address_2": "SUITE 101",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831587",
"telephone_number": "925-838-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PORTER DR",
"address_2": "SUITE 101",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831587",
"telephone_number": "925-838-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCCA",
"first_name": "JON",
"middle_name": "S.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT5200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.