Jo-Ann Portanova

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14689 Issued in CA

Practice address

604 Epping Rd
Palos Verdes Estates, CA 90274-2666

Phone

(310) 373-3834

Fax

(310) 373-3834

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Feld Care Therapy Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1134075864
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1750425260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 EPPING RD",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902742666",
            "telephone_number": "310-373-3834",
            "fax_number": "310-373-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 EPPING RD",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902742666",
            "telephone_number": "310-373-3834",
            "fax_number": "310-373-3834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTANOVA",
        "first_name": "JO-ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Par Anesthesia
• Michael H Park, DDS
• Jeanette Peter, CRNA
• Philip Gruskin MD Inc
• Michelle Pock, OTR/L
• Sarah Putt, OT
• PV Drug Store
• Pve Manor, Inc.
• Elaine Marie Quintiliani, LMFT
• Raj a. Mittal, M.D., a Medical Corporation

• Physical Therapist in Palos Verdes Estates, CA
• Providers in Palos Verdes Estates, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.