Jessica Risk, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25951 Issued in CA

Practice address

28990 Pacific Coast Hwy BLDG a
Suite 205-C
Malibu, CA 90265-3952

Phone

(818) 599-6049

Fax

(310) 919-3600

NPI assigned

Sep 28, 2006

Last updated

Mar 7, 2015By the provider in NPPES

Sex

Female

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jessica Risk PT IncGroup PAC ID 3173849973, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica Risk PT Inc

  dba Restoration Physical Therapy

  • Physical Therapist
  • Malibu, CA
  • NPI 1336552009
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425686400000",
    "number": "1619069762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902650841",
            "telephone_number": "818-599-6049",
            "fax_number": "310-919-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28990 PACIFIC COAST HWY BLDG A",
            "address_2": "SUITE 205-C",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653952",
            "telephone_number": "818-599-6049",
            "fax_number": "310-919-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISK",
        "first_name": "JESSICA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Malibu, Inc.
• Bernard Resnick, MD
• Revitalizing Minds Project
• Erica I Reynoso, PH.D. , LCSW
• James Kemp Ribe, M.D.
• Roberta Ritter, M.D.
• Lisa Jo Rodriguez, M.A. , LMFT
• Erika Denise Romero-Gutierrez, MD
• Howard P Rosenberg, M.D.
• Eva Lisa Ross, L.AC.

• Physical Therapist in Malibu, CA
• Providers in Malibu, 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 7, 2015; 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.