Jared King Barlow, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38812 Issued in CA

Practice address

34241 Pacific Coast Hwy Ste 102
Dana Point, CA 92629-3845

Phone

(949) 496-3896

NPI assigned

Mar 1, 2012

Last updated

Mar 28, 2018By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State College Physical Therapy

  • Physical Therapist
  • Anaheim, CA
  • NPI 1699780353
  NPD (past)
• State College Physical Therapy Inc

  dba Anaheim Hills Physical Therapy & Rehabilitation

  • Physical Therapist
  • Anaheim, CA
  • NPI 1689782310
  NPD (past)

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1538433016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DIAMOND",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202143",
            "telephone_number": "949-246-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34241 PACIFIC COAST HWY STE 102",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293845",
            "telephone_number": "949-496-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34241 Pacific Coast Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dana Point",
            "state": "CA",
            "postal_code": "926293845",
            "country_code": "US",
            "telephone_number": "949-496-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 N State College Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928062932",
            "country_code": "US",
            "telephone_number": "714-685-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 N State College Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928062932",
            "country_code": "US",
            "telephone_number": "714-685-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "JARED",
        "middle_name": "KING",
        "name_prefix": "Mr.",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 28, 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.