Active NPI
Jude N Temple, PTA, ATC
- Physical Therapy Assistant
- Sloughhouse, CA
National Provider Identifier
1881828028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 48217
- Practice address
- 6100 Stonehouse Rd
Sloughhouse, CA 95683-9616 - Phone
- (707) 834-1744
- NPI assigned
- May 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0815 | AZ | |
| Physical Therapy Assistant | 225200000X | 48217 | CA | Primary |
| Athletic Trainer | 2255A2300X | CA |
Addresses
Primary practice location
6100 Stonehouse Rd
Sloughhouse, CA 95683-9616
Mailing address
PO Box 1161
Sloughhouse, CA 95683-1161
Phone (707) 834-1744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48217 | CA | MD | Marriage & Family Therapist |
| 0815 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1881828028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1161",
"city": "SLOUGHHOUSE",
"state": "CA",
"postal_code": "956831161",
"telephone_number": "707-834-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 STONEHOUSE RD",
"city": "SLOUGHHOUSE",
"state": "CA",
"postal_code": "956839616",
"telephone_number": "707-834-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "JUDE",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "PTA, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-02",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0815",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "48217",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sloughhouse, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.