Healthcare Provider Details

I. General information

NPI: 1699172593
Provider Name (Legal Business Name): JANAYA MICHELLE PFEIFER PT, MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 MAIN ST SUITE 105
RAMONA CA
92065-1968
US

IV. Provider business mailing address

3070 MADISON ST
CARLSBAD CA
92008-2310
US

V. Phone/Fax

Practice location:
  • Phone: 760-789-1424
  • Fax:
Mailing address:
  • Phone: 760-591-7750
  • Fax: 760-471-5139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1248330
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP21688
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number292928
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: