Jacob Luther Halmrast, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

306578 Issued in CA

Practice address

2777 Bristol St
Costa Mesa, CA 92626-5997

Phone

(949) 250-1112

NPI assigned

Aug 7, 2024

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prosport Physical Therapy Professionals IncGroup PAC ID 0749510634, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1073170437

  Sports

  Medicare reassignment Care Compare group NPD
• Prosport Physical Therapy Professionals Inc

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1487648341

  Sports

  NPD
• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Mission Viejo, CA
  • NPI 1922031731
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1609607142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265997",
            "telephone_number": "949-250-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALMRAST",
        "first_name": "JACOB",
        "middle_name": "LUTHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "306578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Regina Bea Hall
• Taylor Marie Hall
• Briana Hallgren, P.T.
• Lauren Halloren, P.T.
• Victoria Jayne Halls
• Halo Health Services, Inc.
• Danica Noel Halverson, P.T.A.
• Syed Muhammed Zeeshan Hamdani
• Melanie Hamel
• Chris Fay Hamelberg

• Sports Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.