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

Jonathan Judan

Individual provider Physical Therapist · NPI 1447060009

Jonathan Judan is a Physical Therapist in Private Practice in Seal Beach, California. Qualified in 2024, 2 years ago. Practices with Proactive Physical Therapy and Sports Medicine Inc, a 51-clinician group. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1005 Pacific Coast Hwy
Seal Beach, CA 90740-6214
Phone: (562) 598-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 307400 (CA)

Record details

NPI number1447060009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address21732 Nicolle Ave, Carson, CA 90745-7564

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Proactive Physical Therapy And Sports Medicine Inc — 51 clinicians
Accepts Medicare assignment Not indicated

Other providers in Seal Beach