Active NPI
Jari Haile, PT, DPT, ATC
- Physical Therapist
- Rockville, MD
National Provider Identifier
1124379995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26893
- Practice address
- 9707 Medical Center Dr Ste 300
Rockville, MD 20850-3365 - Phone
- (301) 444-4090
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39093 | CA | |
| Athletic Trainer | 2255A2300X | 2000002122 | CA | |
| Physical Therapist | 225100000X | 26893 | MD | Primary |
Addresses
Primary practice location
9707 Medical Center Dr Ste 300
Rockville, MD 20850-3365
Mailing address
3301 S Hoover St
Los Angeles, CA 90007-3557
Other practice location 1
3301 S Hoover St
Los Angeles, CA 90007-3557
Phone (213) 740-0215
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 |
|---|---|---|---|
| 39093 | CA | MD | Endodontist |
| 2000002122 | CA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1124379995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 S HOOVER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 MEDICAL CENTER DR STE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503365",
"telephone_number": "301-444-4090"
}
],
"practiceLocations": [
{
"address_1": "3301 S Hoover St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900073557",
"country_code": "US",
"telephone_number": "213-740-0215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAILE",
"first_name": "JARI",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39093",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000002122",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.