Individual provider Active NPI

Penelope Jean Christians, RPT

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1902989627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7124 Issued in CA
Practice address
323 Calle Empalme
San Clemente, CA 92672-2105
Phone
(949) 369-9815
Fax
(949) 366-0497
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT7124 CA Primary

Addresses

Primary practice location

323 Calle Empalme
San Clemente, CA 92672-2105

Mailing address

323 Calle Empalme
San Clemente, CA 92672-2105
Phone (949) 369-9815

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7124CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902989627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CALLE EMPALME",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722105",
            "telephone_number": "949-369-9815",
            "fax_number": "949-366-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CALLE EMPALME",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722105",
            "telephone_number": "949-369-9815",
            "fax_number": "949-366-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANS",
        "first_name": "PENELOPE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.