JENNIE D PHOUTHAVONG
NPI 1285429654
Physical Therapy Assistant in Santee, CA

NPI Status: Active since April 14, 2025

Contact Information

300 LANTERN CREST WAY
SANTEE, CA
ZIP 92071
Phone: (619) 312-0929

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  • Individual
  • Female
  • Physical Therapy Assistant

About JENNIE PHOUTHAVONG

This page provides the complete NPI Profile along with additional information for Jennie Phouthavong, a provider established in Santee, California with a medical specialization in Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1285429654 assigned on April 2025. The practitioner's primary taxonomy code is 225200000X with license number PTA48583 (CA). The provider is registered as an individual and her NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1285429654
Provider Name
JENNIE D PHOUTHAVONG
Gender
Female
Entity Type
Individual
Location Address
300 LANTERN CREST WAY SANTEE, CA 92071
Location Phone
(619) 312-0929
Mailing Address
13063 WIMBERLY SQ UNIT 115 SAN DIEGO, CA 92128
Mailing Phone
(619) 994-3220
Is Sole Proprietor?
Yes
Enumeration Date
04-14-2025
Last Update Date
04-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PTA48583
License State
CA
Taxonomy Description
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285429654
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221658218610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 8 + 2 + 1 + 8 + 6 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1285429654 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982889499MOBILE THERAPY AND CONSULTING
Organization
Physical Therapist300 LANTERN CREST WAY
SANTEE, CA 92071
(858) 229-6666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285429654, enumerated in the NPI registry as an "individual" on April 14, 2025

The provider is located at 300 Lantern Crest Way Santee, Ca 92071 and the phone number is (619) 312-0929

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on April 14, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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