Mark Z Jamantoc, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010511 Issued in WA

Practice address

1901 Hoag Rd Ste B
Mount Vernon, WA 98273-5626

Phone

(360) 814-2184

Fax

(360) 814-5515

NPI assigned

Apr 7, 2008

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Public Hospital Dist No 1 Skagit

  dba Skagit Regional Clinics

  • General Practice Physician
  • Mount Vernon, WA
  • NPI 1023332749
  Medicare reassignment NPD
• Precare Physiotherapy and Consulting Services LLC

  • Physical Therapist
  • Bellingham, WA
  • NPI 1689440554
  NPD Authorized official
• Public Hospital Dist No 1 Skagit

  dba Skagit Regional Health - Granite Falls Family Medicine

  • Primary Care Clinic/Center
  • Granite Falls, WA
  • NPI 1033164470
  NPD
• Public Hospital Dist No 1 Skagit

  dba Skagit Regional Health - Mount Vernon Physical Therapy

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1811460652
  NPD
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Fairway Physical Therapy, LLC

  • Physical Therapist
  • Sutherlin, OR
  • NPI 1669924007
  NPD (past)
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1245403674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W HORTON WAY APT 222",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267337",
            "telephone_number": "971-237-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HOAG RD STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735626",
            "telephone_number": "360-814-2184",
            "fax_number": "360-814-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 Columbine Dr",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982268039",
            "country_code": "US",
            "telephone_number": "360-715-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMANTOC",
        "first_name": "MARK",
        "middle_name": "Z",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4968",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0334544",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0334543",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Semmes Mickelwait MD PS
• Eric David Jacobs, M.A.
• Robert R Jacobsen, MD
• Douglas Edmund Jacobsmeyer, DC
• Mary Jo Jahn
• James a Wells Inc PS (Valley Chiropractic)
• Jamie L Southard DC PC (Southard Family Chiropractic)
• Janette Carroll DDS PLLC
• Janette Carroll, DDS, PLLC
• John Jarolimek Jr., D.C.

• Physical Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.