Active NPI
Jesse Sebring Phillips, PT, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1265788897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39128
- Practice address
- 6801 Park Ter
2ND Floor
Los Angeles, CA 90045-1543 - Phone
- (310) 665-7100
- Fax
- (310) 665-7101
- NPI assigned
- Aug 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39128 | CA | Primary |
Addresses
Primary practice location
6801 Park Ter
2ND Floor
Los Angeles, CA 90045-1543
Mailing address
200 N 5TH St
#310
Alhambra, CA 91801-7442
Phone (415) 847-9119
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39128 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1265788897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 5TH ST",
"address_2": "#310",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017442",
"telephone_number": "415-847-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 PARK TER",
"address_2": "2ND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900451543",
"telephone_number": "310-665-7100",
"fax_number": "310-665-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JESSE",
"middle_name": "SEBRING",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.