Jill Lister Whan, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33897 Issued in CA

Practice address

326 S Pacific Coast Hwy Ste 100
Redondo Beach, CA 90277-3768

Phone

(310) 896-8763

Fax

(310) 697-0754

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Exhale Physical Therapy Inc

  • Physical Therapist
  • Redondo Beach, CA
  • NPI 1962834275
  Medicare reassignment NPD Authorized official
• Lori Rubenstein Physical Therapy, Inc

  • Specialist
  • Los Angeles, CA
  • NPI 1447321666
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1144413394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3686",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771686",
            "telephone_number": "310-896-8763",
            "fax_number": "310-697-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S PACIFIC COAST HWY STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773768",
            "telephone_number": "310-896-8763",
            "fax_number": "310-697-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHAN",
        "first_name": "JILL",
        "middle_name": "LISTER",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "33897",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Marie Webb, MA, OTR/L
• Anna Weber, CCC-SLP
• Foley Weems
• Barry A. Wertheimer, D.P.M.
• Willard Howard Weston, DDS
• Christina Anh White, RN, FNP
• Reneshia White
• Robert Charles White Jr., DDS
• Jennifer Mae Whitehall, BCBA
• Threasa Whitehead, FNP-C

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.