Jemelee N Peralta, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA51066 Issued in CA

Practice address

2288 Auburn Blvd Ste 107
Sacramento, CA 95821-1619

Phone

(916) 446-1497

Fax

(916) 446-1497

NPI assigned

Feb 8, 2021

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capitol Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Sacramento, CA
  • NPI 1649288648
  NPD (past)

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1770175077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-1497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8211 Sierra College Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956619405",
            "country_code": "US",
            "telephone_number": "916-782-2761",
            "fax_number": "916-751-2430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9370 Studio Ct Ste 130",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957588048",
            "country_code": "US",
            "telephone_number": "916-714-1177",
            "fax_number": "916-714-3577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "JEMELEE",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA51066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PTA51066",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@capitolpt.com",
            "affiliation": "Y",
            "endpointDescription": "company email",
            "affiliationName": "Capitol Physical Therapy Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2288 Auburn Blvd Ste 107",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958211619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peppermint Palm Senior Care
• Travis Elliott Peppers
• Gabrielle Pera
• Kristal Peral
• Ariana Mariah Peralez
• Kristina M Peralta
• Sandra Peraza
• Tracy Lyn Perdue
• Niezel Delicana Perea
• Jennifer Hope Pereira-Janosky

• Physical Therapy Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.