Individual provider Active NPI

Jared Christopher Engemann, RPT

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1487871109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25794 Issued in CA
Practice address
981 N Vulcan Ave
#5
Encinitas, CA 92024-1720
Phone
(760) 815-6399
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT25794 CA Primary

Addresses

Primary practice location

981 N Vulcan Ave
#5
Encinitas, CA 92024-1720

Mailing address

981 N Vulcan Ave
#5
Encinitas, CA 92024-1720
Phone (760) 815-6399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028003028 CA Practitioner - Physical Therapist in Private Practice 1759700099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

1350 S El Camino Real
Encinitas, CA 92024-4904
Phone (732) 405-3335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Aberdeen Physical Therapy Inc Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients

Locations

1350 S El Camino Real
Encinitas, CA 92024
Phone (760) 479-1818

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487871109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 N VULCAN AVE",
            "address_2": "#5",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241720",
            "telephone_number": "760-815-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 N VULCAN AVE",
            "address_2": "#5",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241720",
            "telephone_number": "760-815-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEMANN",
        "first_name": "JARED",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.