Individual provider Active NPI

Marlyn Jasper, PT

  • Physical Therapist
  • Warner Robins, GA
National Provider Identifier
1609190669
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006022 Issued in GA
Practice address
150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978
Phone
(478) 333-3075
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 PT006022 GA Primary

Addresses

Primary practice location

150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978

Mailing address

150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978
Phone (478) 333-3075

Other practice location 1

6040 Lakeside Commons Dr Ste A
Macon, GA 31210-5794
Phone (478) 254-6880

Other names 1

  • Marlyn Aquino Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115002043 GA Practitioner - Physical Therapist in Private Practice 5597197368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R. Jason Kent Physical Therapy, LLCGroup PAC ID 6204849706, 3 clinicians

Practice addresses (Care Compare)

140 Osigian Blvd
Suite 300
Warner Robins, GA 31088-8029
Phone (478) 333-3075

Merit-based Incentive Payment System (MIPS)

Final score
85.32 of 100Reported as group
Quality
80.5
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006022GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R Jason Kent Physical Therapy LLC Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients

Locations

6040 Lakeside Commons Dr
Ste A
Macon, GA 31210
Phone (478) 254-6880

140 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 329-0291

150 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 333-3075

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.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1609190669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888978",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888978",
            "telephone_number": "478-333-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Lakeside Commons Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312105794",
            "country_code": "US",
            "telephone_number": "478-254-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASPER",
        "first_name": "MARLYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLYN",
            "last_name": "AQUINO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.