Active NPI
Jarrett Walter Mason
- Orthopedic Physical Therapist
- Capitola, CA
National Provider Identifier
1689478174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 306806
- Practice address
- 1200 41St Ave Ste H
Capitola, CA 95010-3900 - Phone
- (831) 346-6886
- NPI assigned
- Apr 3, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 306806 | CA | Primary |
Addresses
Primary practice location
1200 41St Ave Ste H
Capitola, CA 95010-3900
Mailing address
3500 W Manchester Blvd Unit 268
Inglewood, CA 90305-4268
Phone (424) 227-2064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 41St Ave
Suite H
Capitola, CA 95010-3900
Phone (831) 346-6886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Integrative Rehabilitation | Orthopedic | Current | Accepting new patients |
Locations
1200 41st Ave
Ste H
Capitola, CA 95010
Phone (831) 346-6886
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 Therapy Clinic/Center
- Capitola, CA
- NPI 1902132012
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1689478174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 W MANCHESTER BLVD UNIT 268",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903054268",
"telephone_number": "424-227-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 41ST AVE STE H",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103900",
"telephone_number": "831-346-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "JARRETT",
"middle_name": "WALTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "306806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.