Active NPI
Jennifer Ellen Naughton, DPT
- Physical Therapist
- Berkeley, CA
National Provider Identifier
1982936704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38779
- Practice address
- 2422 5TH St
Apt B
Berkeley, CA 94710-2410 - Phone
- (510) 682-0017
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25260 | FL | |
| Physical Therapist | 225100000X | PT38779 | CA | Primary |
Addresses
Primary practice location
2422 5TH St
Apt B
Berkeley, CA 94710-2410
Mailing address
2422 5TH St
Apt B
Berkeley, CA 94710-2410
Phone (510) 682-0017
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 |
|---|---|---|---|
| PT38779 | CA | MD | Physical Therapist |
| 25260 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1982936704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 5TH ST",
"address_2": "APT B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102410",
"telephone_number": "510-682-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 5TH ST",
"address_2": "APT B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102410",
"telephone_number": "510-682-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUGHTON",
"first_name": "JENNIFER",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25260",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT38779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.