Jamil Kassam, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302764 Issued in CA

Practice address

861 Harold PL Ste 210
Chula Vista, CA 91914-4555

Phone

(858) 755-5200

Fax

(619) 870-2693

NPI assigned

Aug 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Mobile Therapy Specialists Inc.Group PAC ID 9638594898, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Mobile Therapy Specialists Inc

  • Physical Therapy Clinic/Center
  • Huntington Beach, CA
  • NPI 1235756677
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1124746599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HAROLD PL STE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144555",
            "telephone_number": "858-755-5200",
            "fax_number": "619-870-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HAROLD PL STE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144555",
            "telephone_number": "858-755-5200",
            "fax_number": "619-870-2693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 Center Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919422952",
            "country_code": "US",
            "telephone_number": "858-755-5200 x20",
            "fax_number": "619-433-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5360 Jackson Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423012",
            "country_code": "US",
            "telephone_number": "858-755-5200 x20",
            "fax_number": "619-433-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAM",
        "first_name": "JAMIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.risephysicaltherapy.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "861 Harold Pl Ste 210",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919144555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Y. Liu, DDS. Inc.
• Kushal Karnik, M.D.
• Linda Karo
• Rayna Tovah Karoll, DMD
• Jordan R Karstens
• Jennifer Christine Kastello
• Radhika Katyal-Castillo, PSY.D.
• Opinderveer Kaur, OTR/L
• KC Campbell MD a Medical Corporation
• Keddington & Kalra Optometrists Apc

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.