Jasmin Bartolome

Individual provider Active NPI Physical Therapist · Brawley, CA

NPI 1073076014 · NPPES record last updated Apr 8, 2019

Key facts

NPI
1073076014
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
296102 (CA)
Practice address
180 W Legion Rd
Brawley, CA 92227-7713
Phone
(208) 272-0327
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296102 CA Yes

Addresses

Primary practice location

180 W Legion Rd
Brawley, CA 92227-7713

Mailing address

3452 Lake Lynda Dr Ste 200
Orlando, FL 32817-1481
Phone (800) 774-7785

Other providers in Brawley, CA

All providers in Brawley, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.