Active NPI
Jasmine Marie Leibel, DPT
- Physical Therapist
- Costa Mesa, CA
National Provider Identifier
1245480839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34358
- Practice address
- 1700 Adams Ave
Suite 201
Costa Mesa, CA 92626-4865 - Phone
- (714) 556-1600
- NPI assigned
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60041864 | WA | |
| Physical Therapist | 225100000X | 34358 | CA | Primary |
Addresses
Primary practice location
1700 Adams Ave
Suite 201
Costa Mesa, CA 92626-4865
Mailing address
1700 Adams Ave
Suite 201
Costa Mesa, CA 92626-4865
Phone (714) 556-1600
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 |
|---|---|---|---|
| PT60041864 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodes Physical Therapy of Ca Apc | Physical Therapist | Past | Accepting new patients |
| Ann Steinfeld Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1760402515
-
- Physical Therapist
- Costa Mesa, CA
- NPI 1528944915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1245480839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 ADAMS AVE",
"address_2": "SUITE 201",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264865",
"telephone_number": "714-556-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ADAMS AVE",
"address_2": "SUITE 201",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264865",
"telephone_number": "714-556-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBEL",
"first_name": "JASMINE",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-19",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60041864",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.