Jared Kowal, ATC, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT 5404 Issued in CA

Practice address

211 Saxony Rd
Encinitas, CA 92024-2791

Phone

(760) 632-0081

NPI assigned

Aug 10, 2007

Last updated

Aug 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1346432655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SAXONY RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242791",
            "telephone_number": "760-632-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAXONY RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242791",
            "telephone_number": "760-632-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "JARED",
        "credential": "ATC, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 5404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Leeland Koett, D.D.S.
• Ravichandra Komatireddy, M.D.
• Sondra K Konigsfeld, D.C.
• Megan Ann Koraly, LCSW
• Avi Kouzi, OT
• Kathleen Kralick, OTR/L
• Zachary James Kramer, DPM
• Leah Davida Krecu, L.AC.
• Matthew Kreinheder, DC
• Christopher Kreps, DPM

• Physical Therapy Assistant in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.