JBJC Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JBJC INC

Doing business as

Pine Street Physical & Occupational Therapy

Practice address

1640 W Yosemite Ave
Suite 1
Manteca, CA 95337-5192

Phone

(209) 463-5800

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John BobNPI 1720163249

Title

DPT, Owner, President

Phone

(209) 451-3920

Specialties & licenses 2

Addresses

Other names 1

• Pine Street Physical & Occupational Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Bob, D.P.T.

  • Orthopedic Physical Therapist
  • Stockton, CA
  • NPI 1720163249
  Authorized official Same address or phone

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1932647021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E PINE ST",
            "address_2": "SUITE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800",
            "fax_number": "209-463-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W YOSEMITE AVE",
            "address_2": "SUITE 1",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375192",
            "telephone_number": "209-463-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBJC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "BOB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DPT, OWNER, PRESIDENT",
        "authorized_official_telephone_number": "209-451-3920"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Street Physical & Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dora Renee Jackson
• Kalsoom Jalali
• Imee Laurenaria Janaban
• Andrew C. Jaramillo, MD
• Bushra Jawaid, M.D.
• Timothy Allen Jeffers III, BA
• Oi Lan Jen
• Kara Elise Jenkins, DPT
• Manop Edward Jennings, B.A.
• Heesoo Jeong

• Physical Therapist in Manteca, CA
• Providers in Manteca, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.