Individual provider Active NPI

Jocelyn Lehman Labelle, PT, DPT

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1720717853
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301588 Issued in CA
Practice address
227 N El Camino Real Ste 100
Encinitas, CA 92024-5821
Phone
(760) 452-2640
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 301588 CA Primary

Addresses

Primary practice location

227 N El Camino Real Ste 100
Encinitas, CA 92024-5821

Mailing address

227 N El Camino Real Ste 100
Encinitas, CA 92024-5821
Phone (760) 452-2640

Other identifiers 1

IdentifierTypeStateIssuer
301588OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206002646 CA Practitioner - Physical Therapist in Private Practice 7315319019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Mikla Dunning Physical Therapy Systems PCGroup PAC ID 0941592067, 31 clinicians

Practice addresses (Care Compare)

4990 Hillsdale Cir
Suite 100
El Dorado Hills, CA 95762-5770
Phone (916) 342-4190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mikla Dunning Physical Therapy Systems, PC CurrentSince Mar 18, 2024 Accepting new patients
Kime Performance Nevada LLC PastSince Mar 18, 2024 Accepting new patients

Locations

4990 Hillsdale Cir
Ste 100
El Dorado Hls, CA 95762
Phone (916) 342-4190

Organizations & group practices 2

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1720717853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-452-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-452-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "JOCELYN",
        "middle_name": "LEHMAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "301588",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.