Individual provider Active NPI

Mary Kristine Jaro, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1124201686
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28788 Issued in CA
Practice address
10959 Rochester Ave
Apt. 506
Los Angeles, CA 90024-7703
Phone
(310) 408-9828
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 28788 CA Primary

Addresses

Primary practice location

10959 Rochester Ave
Apt. 506
Los Angeles, CA 90024-7703

Mailing address

15404 Prairie Ave
Lawndale, CA 90260-2223
Phone (310) 408-9828

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1124201686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15404 PRAIRIE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602223",
            "telephone_number": "310-408-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10959 ROCHESTER AVE",
            "address_2": "APT. 506",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900247703",
            "telephone_number": "310-408-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARO",
        "first_name": "MARY",
        "middle_name": "KRISTINE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.