Active NPI
Paula Jo Patterson, PT DPT OCS
- Physical Therapist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38232
- Practice address
- 275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238 - Phone
- (909) 567-2221
- Fax
- (909) 763-3216
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- 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 | 38232 | CA | Primary |
Addresses
Primary practice location
275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Mailing address
275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Phone (909) 567-2221
Other practice location 1
1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082
Phone (909) 258-2220
Other practice location 2
4200 Latham St Ste C1
Riverside, CA 92501-1780
Phone (951) 289-9454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161216002004 | CA | Practitioner - Physical Therapist in Private Practice | 1759661309 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic and Neurological Rehab Inc
Practice addresses (Care Compare)
24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38232 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Movement Evolved Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
1455 W Park Ave
Ste A
Redlands, CA 92373
Phone (909) 657-9652
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
CA, Physical Therapist
-
- Orthopedic Physical Therapist
- Redlands, CA
- NPI 1205727146
Physical Therapist
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Physical Therapist
- Corona, CA
- NPI 1891763561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1871044404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W HOSPITALITY LN STE 103",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083238",
"telephone_number": "909-567-2221",
"fax_number": "909-763-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W HOSPITALITY LN STE 103",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083238",
"telephone_number": "909-567-2221",
"fax_number": "909-763-3216"
}
],
"practiceLocations": [
{
"address_1": "1850 N Riverside Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Rialto",
"state": "CA",
"postal_code": "923768082",
"country_code": "US",
"telephone_number": "909-258-2220",
"fax_number": "909-258-2102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 Latham St Ste C1",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925011780",
"country_code": "US",
"telephone_number": "951-289-9454",
"fax_number": "951-289-9456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "PAULA",
"middle_name": "JO",
"credential": "PT DPT OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.