Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Farris

Individual provider Physical Therapist · NPI 1215646302

Jonathan Farris is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2022, 4 years ago. Practices with Sand Coast Rehab Physical Therapy Inc, a 132-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

1821 Nantucket Pl
Costa Mesa, CA 92627-4588
Phone: (949) 689-6289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1215646302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 17, 2022
Last updated in NPPESNovember 17, 2022
Certification dateNovember 16, 2022
Mailing address19191 Harvard Ave, Irvine, CA 92612-4670

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sand Coast Rehab Physical Therapy Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Costa Mesa