Active NPI
Jason Anthony Martins La Rosa, DPT
- Orthopedic Physical Therapist
- Redwood City, CA
National Provider Identifier
1023563954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT291895
- Practice address
- 2944 Broadway
Redwood City, CA 94062-1510 - Phone
- (650) 261-0330
- NPI assigned
- Aug 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT291895 | CA | Primary |
Addresses
Primary practice location
2944 Broadway
Redwood City, CA 94062-1510
Mailing address
914 Bard St
San Jose, CA 95127-1102
Phone (408) 687-5041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT291895 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forte - Phoenix, PLLC | Current | Accepting new patients |
Locations
4455 E Camelback Rd
Ste D155
Phoenix, AZ 85018
Phone (480) 626-2444
Organizations & group practices 1
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": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471737600000",
"number": "1023563954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 BARD ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951271102",
"telephone_number": "408-687-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2944 BROADWAY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621510",
"telephone_number": "650-261-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA ROSA",
"first_name": "JASON",
"middle_name": "ANTHONY MARTINS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-21",
"last_updated": "2016-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT291895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.