Individual provider Active NPI

Jonathan M Royce, P.T.

  • Physical Therapist
  • Lodi, CA
National Provider Identifier
1811925985
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32533 Issued in CA
Practice address
631 S Ham LN Ste B
Lodi, CA 95242-3532
Phone
(209) 490-5574
Fax
(209) 222-6182
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 PT32533 CA Primary

Addresses

Primary practice location

631 S Ham LN Ste B
Lodi, CA 95242-3532

Mailing address

631 S Ham LN Ste B
Lodi, CA 95242-3532
Phone (209) 490-5574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000304 CA Practitioner - Physical Therapist in Private Practice 3375553126 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burger Physical Therapy Services IncGroup PAC ID 8921019746, 37 clinicians

Practice addresses (Care Compare)

7200 S Land Park Dr
Suite 300
Sacramento, CA 95831-3670
Phone (916) 391-5010

Merit-based Incentive Payment System (MIPS)

Final score
67.73 of 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32533CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
Napa Valley Physical Therapy Center Inc Physical Therapist CurrentSince Jan 28, 2021 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
El Dorado Physical Therapy, Inc Physical Therapist CurrentSince Jan 28, 2021 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Jan 28, 2021 Accepting new patients
Burger Physical Therapy Services Inc CurrentSince Jul 1, 2022 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Gridley Physical Therapy & Sports Medicine PastSince Jan 1, 1990 Accepting new patients
Western Physical Therapy Inc PastSince Jan 1, 1990 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Western Physical Therapy, Inc. PastSince Jan 1, 1990 Accepting new patients
Farwest Rehabilitation, Inc Past Accepting new patients
Western Physical Therapy Inc PastSince Jan 1, 1990 Accepting new patients
Western Physical Therapy Inc Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients
Western Physical Therapy, Inc. PastSince Jan 1, 1990 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Physiomotion Physical Therapy, Inc. Physical Therapist PastSince Aug 8, 2016 Accepting new patients
Northern Asset Management Inc Physical Therapist PastSince Jan 18, 2008 Accepting new patients

Locations (25 of 27)

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

844 Bridge St
Ste C
Colusa, CA 95932
Phone (530) 458-7770

907 Embarcadero Dr
El Dorado Hills, CA 95762
Phone (916) 355-1250

2222 Francisco Dr
Ste 120
El Dorado Hills, CA 95762
Phone (916) 235-4071

222 Acacia St
Ste A
Fairfield, CA 94533
Phone (707) 421-2095

222 Acacia St
Fairfield, CA 94533
Phone (707) 421-0418

1301 E Bidwell St
Ste 201
Folsom, CA 95630

990 Riley St
Folsom, CA 95630
Phone (916) 335-1250

4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

631 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 368-7433

210 W Pine St
Lodi, CA 95240
Phone (209) 365-7867

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

3273 Claremont Way
Ste 101
Napa, CA 94558
Phone (707) 224-3131

433 Soscol Ave
Ste B191
Napa, CA 94559
Phone (707) 224-3131

7281 Lone Pine Dr
Ste D103
Rancho Murieta, CA 95683
Phone (916) 354-0719

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1586 Constitution Blvd
Salinas, CA 93905
Phone (831) 276-0565

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

4052 Mother Lode Dr
Shingle Springs, CA 95682
Phone (530) 556-1080

1009 Alamo Dr
Vacaville, CA 95687
Phone (707) 689-5025

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1811925985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S HAM LN STE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423532",
            "telephone_number": "209-490-5574",
            "fax_number": "209-222-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S HAM LN STE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423532",
            "telephone_number": "209-490-5574",
            "fax_number": "209-222-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYCE",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.