MONTANA JELDEN PT, DPT
NPI 1174453369
Physical Therapist in San Clemente, CA

Active since May 20, 2026Accepts Medicare Assignment
653 CAMINO DE LOS MARES STE 110, SAN CLEMENTE, CA 92673(949) 496-0122 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Montana Jelden Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTANA JELDEN PT, DPT (NPI 1174453369) is an individual physical therapist in San Clemente, California, licensed in California (310200) and active in the NPI registry since May 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1174453369
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMONTANA JELDENCredential: PT, DPT
Location Address653 CAMINO DE LOS MARES STE 110San Clemente, CA 92673-2808
Mailing Address653 Camino De Los Mares Ste 110San Clemente, CA 92673-2808
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1174453369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 310200
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
653 CAMINO DE LOS MARES STE 110, San Clemente, CA 92673

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Montana Jelden Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133693377
PECOS Enrollment IDI20260717000063

Medicare Billing Reassignment

Medicare enrollment records show Montana Jelden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
653 CAMINO DE LOS MARES, SUITE 110
San Clemente, CA 92673
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92673 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673
Physical Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673
Occupational Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673
Occupational Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673
Physical Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673
Physical Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673
Physical Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673
Physical Therapist
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montana Jelden's NPI number?

The NPI number for Montana Jelden is 1174453369. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Montana Jelden located?

Montana Jelden practices at 653 Camino De Los Mares Ste 110, San Clemente, CA 92673. The listed phone number is (949) 496-0122.

What is Montana Jelden's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Montana Jelden enrolled in Medicare?

Yes. Montana Jelden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Montana Jelden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Montana Jelden reassigns Medicare benefits to Scor Physical Therapy Inc (San Clemente, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Montana Jelden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Montana Jelden was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.