=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750231213
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT THOMAS JONES
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2026
-----------------------------------------------------
Last Update Date | 02/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 370 DEL NORTE AVE STE 202
-----------------------------------------------------
City | YUBA CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95991-4142
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-751-4500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5720 GLOWHAVEN ST
-----------------------------------------------------
City | LINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95901-8754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225200000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Assistant
-----------------------------------------------------
License Number | 53300
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------