Individual provider Active NPI

Jadriane C Owens, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1689112179
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
585 Saturn Blvd Ste a
San Diego, CA 92154-4721
Phone
(619) 591-1190
Fax
(619) 565-1656
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 Primary

Addresses

Primary practice location

585 Saturn Blvd Ste a
San Diego, CA 92154-4721

Mailing address

3760 Convoy St Ste 101
San Diego, CA 92111-3743
Phone (888) 208-8526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216001958 CA Practitioner - Physical Therapist in Private Practice 9830472869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

8790 Cuyamaca St
Suite a
Santee, CA 92071-4295
Phone (619) 596-5969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292222CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients

Locations

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

1625 E Main St
Ste 104
El Cajon, CA 92021
Phone (619) 873-2160

585 Saturn Blvd
Ste A
San Diego, CA 92154
Phone (619) 591-1190

3760 Convoy St
Ste 101
San Diego, CA 92111
Phone (858) 264-1434

675 Saturn Blvd
Ste Cd
San Diego, CA 92154

2115 Montiel Rd
Ste 103
San Marcos, CA 92069
Phone (760) 738-8190

8790 Cuyamaca St
Ste A
Santee, CA 92071
Phone (619) 596-5969

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1689112179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "888-208-8526",
            "fax_number": "858-751-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SATURN BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544721",
            "telephone_number": "619-591-1190",
            "fax_number": "619-565-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JADRIANE",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.