MEDICARE: JENNIFER ANN ORR PT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT33107	CA

General Provider Information

NPI Number	:	1255423521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN ORR PT DPT

Provider Business Mailing Address
First Line	:	23100 EUCALYPTUS AVE STE C
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-5439
Country	:	US
Telephone Number	:	951-379-1500
Fax Number	:	951-379-1501

Provider Business Practice Location Address
First Line	:	26755 JEFFERSON AVE STE D-1
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92562-8924
Country	:	US
Telephone Number	:	951-574-6300
Fax Number	:	951-574-6301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	03/03/2026

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Directions to “ JENNIFER ANN ORR PT DPT” Practice Location

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