Individual provider Active NPI

Jason Anthony Martins La Rosa, DPT

  • Orthopedic Physical Therapist
  • Redwood City, CA
National Provider Identifier
1023563954
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT291895 Issued in CA
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

Updated by the provider on Aug 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT291895CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forte - Phoenix, PLLC CurrentSince Oct 13, 2017 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.

Verify at the official NPI Registry.