Jethro Payne La Rosa
NPI 1720422983 · Physical Therapy Assistant · Fremont, CA
Jethro Payne La Rosa is a Physical Therapy Assistant provider in Fremont, CA (NPI 1720422983).
Provider details
- NPI number
- 1720422983
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-18
- Last updated
- 2013-04-18
Frequently asked questions
- What is Jethro Payne La Rosa's NPI number?
- Jethro Payne La Rosa's National Provider Identifier (NPI) is 1720422983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jethro Payne La Rosa's specialty?
- Jethro Payne La Rosa is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jethro Payne La Rosa located?
- Jethro Payne La Rosa's practice location on file with NPPES is 39210 State St, Fremont, CA 94538-1456.
- What is Jethro Payne La Rosa's phone number?
- The practice phone number listed in the NPPES registry for Jethro Payne La Rosa is (510) 790-9480.
- Is Jethro Payne La Rosa's NPI active?
- Yes — Jethro Payne La Rosa's NPI (1720422983) is active in the NPPES registry as of the last update on 2013-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.