Amy Lynn Jorgensen, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

14728 Issued in CA

Practice address

96 W Main St
Ste. B
Woodland, CA 95695-3016

Phone

(530) 668-1010

Fax

(530) 668-9799

NPI assigned

Mar 27, 2009

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1922240548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 W MAIN ST",
            "address_2": "STE. B",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953016",
            "telephone_number": "530-668-1010",
            "fax_number": "530-668-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 W MAIN ST",
            "address_2": "STE. B",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953016",
            "telephone_number": "530-668-1010",
            "fax_number": "530-668-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "14728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonna Johnson
• Keri Louise Johnston
• Isaiah Jones
• Courtney Mae Jordan-Navarro, MSW, ASW
• George W. Jordan, M.D.
• Arely Juarez
• Lorena Juarez, MA
• Ashna Kadam, OTR/L, CHT
• Colleen Cahill Kaff
• Ganesh Kambhampati, M.D

• Pediatric Physical Therapist in Woodland, CA
• Providers in Woodland, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.