Active NPI
Marlyn Jasper, PT
- Physical Therapist
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006022
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
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 100
- Quality
- 80.5
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006022 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Jason Kent Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Warner Robins, GA
- NPI 1992731764
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.