Individual provider Active NPI

Jasmine Elizabeth Amrull, P.T., D.P.T.

  • Physical Therapist
  • Ramona, CA
National Provider Identifier
1659888667
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294254 Issued in CA
Practice address
1338 Main St
Ramona, CA 92065-2127
Phone
(760) 789-1400
Fax
(760) 789-1401
NPI assigned
Dec 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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 294254 CA Primary

Addresses

Primary practice location

1338 Main St
Ramona, CA 92065-2127

Mailing address

197 Woodland Pkwy
Ste. 104-PMB 224
San Marcos, CA 92069-3020
Phone (510) 417-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240506001391 NJ Practitioner - Physical Therapist in Private Practice 2961761036 Reassigns benefits to 1 organization
I20240903003863 PA Practitioner - Physical Therapist in Private Practice 2961761036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates Physical Therapist CurrentSince Jun 27, 2024 Accepting new patients
Consonant Healing Medical Associates of NJ LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

2381 Lawrenceville Rd
Trenton, NJ 08648
Phone (609) 896-8152

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1659888667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 WOODLAND PKWY",
            "address_2": "STE. 104-PMB 224",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693020",
            "telephone_number": "510-417-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652127",
            "telephone_number": "760-789-1400",
            "fax_number": "760-789-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRULL",
        "first_name": "JASMINE",
        "middle_name": "ELIZABETH",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.