Jennifer Paulus, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 38796 Issued in CA

Practice address

885 Canarios CT
110
Chula Vista, CA 91910-7877

Phone

(619) 656-5102

Fax

(619) 656-5143

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manual Orthopedic Physical Therapy IncGroup PAC ID 4880688910, 20 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 and National Provider Directory roles.

• Manual Orthopedic Physical Therapy, Inc.

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1982651535
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1700210382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 38796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT 38796",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul K. Raffer,M.D., Inc.
• Bobbie J Paul, PH.D.
• Christina Vanessa Paul
• Robert Paul, PA
• Sierra Angelique Paul
• Gabriela Payan-Jacobo
• Adair Payan
• Vianey Payan
• Paymon Hossini, OD, Inc
• Sylvia Payton, CM

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.