Active NPI
Jessica Martin
- Physical Therapist
- Rancho Santa Margarita, CA
National Provider Identifier
1316570781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297749
- Practice address
- 29811 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-3612 - Phone
- (949) 600-5437
- NPI assigned
- Feb 13, 2020
- Last updated
- Feb 13, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297749 | CA | Primary |
Addresses
Primary practice location
29811 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-3612
Mailing address
22431 Antonio Pkwy Ste B160-493
RSM, CA 92688-2804
Phone (949) 528-5400
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 |
|---|---|---|---|
| 297749 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hailey Mayz Foundation | Current | Accepting new patients |
Locations
22431 Antonio Pkwy
Ste B160493
Rsm, CA 92688
Phone (949) 600-5437
Organizations & group practices 1
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.
-
dba Amayzing Kids
- Speech-Language Pathologist
- Ranch Santa Margarita, CA
- NPI 1023309390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1316570781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22431 ANTONIO PKWY STE B160-493",
"city": "RSM",
"state": "CA",
"postal_code": "926882804",
"telephone_number": "949-528-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29811 SANTA MARGARITA PKWY",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926883612",
"telephone_number": "949-600-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
- Laura Pruett Marano, D.P.T.
- Mark E Adlard Rancho Santa Margarita Family Medical Center
- Marque Medical Clinic, Inc. (Marque Urgent Care)
- Nancy Gabriela Marroquin Alvarado
- Marsha Granese, MD, Inc.
- Mary Hawkins Chiropractic Corporation (Precision Chiropractic)
- Katayoun Massoudi, DDS
- Julie Mayer Norvilas, M.F.T., M.A.
- Alexis McAnally
- Cathy McCann, CNTP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.