NPIMap

Organization Active NPI

Jarrett Orthopaedic Rehabilitation, Inc

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1063402766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22363 Issued in CA
Legal business name
JARRETT ORTHOPAEDIC REHABILITATION, INC
Practice address
2651 Irvine Ave
Suite 128
Costa Mesa, CA 92627-4628
Phone
(949) 722-8811
Fax
(949) 722-9911
NPI assigned
Oct 24, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Chad Jarrett, PTNPI 1528044302
Title
Owner
Phone
(949) 722-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22363 CA Primary

Addresses

Primary practice location

2651 Irvine Ave
Suite 128
Costa Mesa, CA 92627-4628

Mailing address

2651 Irvine Ave
Suite 128
Costa Mesa, CA 92627-4628
Phone (949) 722-8811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000686 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799775490 Receives reassigned benefits from 3 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

2651 Irvine Ave
Ste 128
Costa Mesa, CA 92627
Phone (949) 722-8811

20162 SW Birch St
Ste 240
Newport Beach, CA 92660
Phone (949) 722-8811

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063402766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 IRVINE AVE",
            "address_2": "SUITE 128",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274628",
            "telephone_number": "949-722-8811",
            "fax_number": "949-722-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 IRVINE AVE",
            "address_2": "SUITE 128",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274628",
            "telephone_number": "949-722-8811",
            "fax_number": "949-722-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRETT ORTHOPAEDIC REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-722-8811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.