Individual provider Active NPI

Jacqueline Michelle Alm, PT

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1003998774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 16120 Issued in CA
Practice address
653 Camino de Los Mares
Suite 110
San Clemente, CA 92673-2808
Phone
(949) 496-0122
NPI assigned
Oct 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 16120 CA Primary

Addresses

Primary practice location

653 Camino de Los Mares
Suite 110
San Clemente, CA 92673-2808

Mailing address

2417 Camino Oleada
San Clemente, CA 92673-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000590 CA Practitioner - Physical Therapist in Private Practice 1153590674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesisca Physical Therapy IncGroup PAC ID 6406749548, 11 clinicians
Mobile Therapy Specialists Inc.Group PAC ID 9638594898, 33 clinicians

Practice addresses (Care Compare)

27722 Rosebud Way
Laguna Niguel, CA 92677-6014
Phone (714) 281-0169

514 8TH St
Huntington Beach, CA 92648-4631
Phone (949) 529-1567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 16120CAMDPhysical Therapist
16120CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Specialists Inc CurrentSince Jun 21, 2021 Accepting new patients
Scor Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 1999 Accepting new patients
Mesisca Physical Therapy Inc Physical Therapist CurrentSince Mar 8, 2017 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

30025 Alicia Pkwy
Laguna Niguel, CA 92677
Phone (714) 231-0169

653 Camino de los Mares
Ste 110
San Clemente, CA 92673
Phone (949) 496-0122

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003998774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 CAMINO OLEADA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES",
            "address_2": "SUITE 110",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-496-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALM",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 16120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.