Active NPI
Arantxa Jovellanos, PT, DPT
- Physical Therapist
- San Pedro, CA
National Provider Identifier
1912576919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT300307
- Practice address
- 255 W 7TH St Apt 10
San Pedro, CA 90731-0301 - Phone
- (909) 967-6904
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PT300307 | CA | Primary |
Addresses
Primary practice location
255 W 7TH St Apt 10
San Pedro, CA 90731-0301
Mailing address
1736 Grasscreek Dr
San Dimas, CA 91773-1319
Phone (909) 967-6904
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT300307 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1912576919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 GRASSCREEK DR",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917731319",
"telephone_number": "909-967-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W 7TH ST APT 10",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907310301",
"telephone_number": "909-967-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOVELLANOS",
"first_name": "ARANTXA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT300307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.