Jamal Omar Mehyar, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5903 Issued in ID

Practice address

24582 Del Prado Ste C
Dana Point, CA 92629-3820

Phone

(949) 443-0713

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Rausch Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861

  Physical Therapist

  NPD
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336
  NPD (past)
• Pack Physical Therapy

  • Physical Therapy Clinic/Center
  • Dana Point, CA
  • NPI 1750537585
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1417437823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32412 CROWN VALLEY PKWY APT 203",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293336",
            "telephone_number": "360-339-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24582 DEL PRADO STE C",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293820",
            "telephone_number": "949-443-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHYAR",
        "first_name": "JAMAL",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-5903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinead Anne McGurrin, PT
• Kate McHenry
• Meachum Dental Corporation
• Medicus Optimus Medical Associates
• Elaheh Mehdigholi, PHARM-D
• Nicollette Mihaila
• Mindful Specialty Associates
• Hannah Mira, LCSW
• Roman Misiow, M.D.
• Mission Rehab, LLC.

• Physical Therapist in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.