Individual provider Active NPI

Jacquelyn Martin, DPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1336992361
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT305821 Issued in CA
Practice address
713 Mission Ave Ste B
Oceanside, CA 92054-2852
Phone
(760) 453-7072
Fax
(844) 269-6815
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT305821 CA Primary

Addresses

Primary practice location

713 Mission Ave Ste B
Oceanside, CA 92054-2852

Mailing address

713 Mission Ave Ste B
Oceanside, CA 92054-2852
Phone (760) 453-7072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701002746 CA Practitioner - Physical Therapist in Private Practice 9335683382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rekinected Physical Therapy IncGroup PAC ID 7810302023, 18 clinicians

Practice addresses (Care Compare)

681 Encinitas Blvd
Suite 307
Encinitas, CA 92024-3762
Phone (760) 585-2178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT305821CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig-Jones and Flynn Physical Therapy PC Physical Therapist CurrentSince Apr 29, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1336992361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MISSION AVE STE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542852",
            "telephone_number": "760-453-7072",
            "fax_number": "844-269-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MISSION AVE STE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542852",
            "telephone_number": "760-453-7072",
            "fax_number": "844-269-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JACQUELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT305821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.