Active NPI
Jennifer Okamoto
- Physical Therapist
- Redondo Beach, CA
National Provider Identifier
1568516920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27439
- Practice address
- 234 S Pacific Coast Hwy
#204
Redondo Beach, CA 90277-3383 - Phone
- (310) 798-9889
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27439 | CA | Primary |
Addresses
Primary practice location
234 S Pacific Coast Hwy
#204
Redondo Beach, CA 90277-3383
Mailing address
234 S Pacific Coast Hwy
#204
Redondo Beach, CA 90277-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27439 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jille a. Dorler | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Redondo Beach, CA
- NPI 1588612295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1568516920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 S PACIFIC COAST HWY",
"address_2": "#204",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S PACIFIC COAST HWY",
"address_2": "#204",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773383",
"telephone_number": "310-798-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAMOTO",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.