Tana Jimenez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28018 Issued in CA

Practice address

28975 Canyon Rim Dr
Trabuco Canyon, CA 92679-1059

Phone

(714) 200-4274

NPI assigned

Jan 6, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wheelchair Clinic IncGroup PAC ID 0941613590, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wheelchair Clinic Inc

  • Physical Therapist
  • Amarillo, TX
  • NPI 1265904064
  Medicare reassignment Care Compare group NPD
• Deborah Weinstein Physical Therapy

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1881961258
  NPD (past)
• Grace Physical Therapy, Inc.

  • Specialist
  • Laguna Niguel, CA
  • NPI 1386668739
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1942530480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28975 CANYON RIM DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791059",
            "telephone_number": "714-200-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28975 CANYON RIM DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791059",
            "telephone_number": "714-200-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "TANA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Inzunza, LCSW
• Alysia Israel
• Nicole Marie Ivery Davis, LVN
• Michael Justin James, D.C.
• Gina Marie Jamieson, RADT
• Daniel Scott Jimmerson, APCC
• Victoria Lynn Johnston
• Juste Ruzelyte DDS PC
• Kalapp Chiropractic
• Amanda Kasten

• Physical Therapist in Trabuco Canyon, CA
• Providers in Trabuco Canyon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.