Jessica Risk PT Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25951 Issued in CA

Legal business name

JESSICA RISK PT INC

Practice address

28990 Pacific Coast Hwy BLDG a
Suite 205-C
Malibu, CA 90265-3952

Phone

(818) 599-6049

Fax

(310) 919-3600

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Jessica Risk, P.T., M.P.T.NPI 1619069762

Title

Owner/Officer/Director

Phone

(818) 599-6049

Specialties & licenses 1

Addresses

Other names 1

• Restoration Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Risk, MPT

  • Physical Therapist
  • Malibu, CA
  • NPI 1619069762
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Gardner, PT, DPT

  • Physical Therapist
  • Houston, TX
  • NPI 1225662802

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1336552009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902650841",
            "telephone_number": "818-599-6049",
            "fax_number": "310-919-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28990 PACIFIC COAST HWY BLDG A",
            "address_2": "SUITE 205-C",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653952",
            "telephone_number": "818-599-6049",
            "fax_number": "310-919-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA RISK PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "RISK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "818-599-6049",
        "authorized_official_credential": "P.T., M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalini Jain, MD
• James & Bentz
• Jeff Harris, M.D. a Medical Corporation
• Rosanna Jennett, R.N.
• Jennifer Morgan Physical Therapy
• Rhonda Lee Jessum, PH.D.
• Samantha Janine Johnson
• Zachary Johnston, PT, DPT, OCS
• Jennifer Jones, PHD
• Joseph J Barrows PLLC

• Physical Therapist in Malibu, CA
• Providers in Malibu, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; 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.