Individual provider Active NPI

Jason Whitman, PT, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1720335797
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT39223 Issued in CA
Practice address
11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166
Phone
(310) 770-7586
Fax
(310) 826-4517
NPI assigned
Aug 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT39223 CA Primary

Addresses

Primary practice location

11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166

Mailing address

11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166
Phone (310) 770-7586

Other practice location 1

12207 Santa Monica Blvd
Los Angeles, CA 90025-2517
Phone (323) 936-7525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121116000195 CA Practitioner - Physical Therapist in Private Practice 3870744055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Physical Therapy and Fitness IncGroup PAC ID 7315170644, 6 clinicians

Practice addresses (Care Compare)

12207 Santa Monica Blvd
Los Angeles, CA 90025-2517
Phone (310) 770-7586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39223CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Physical Therapy and Fitness Inc CurrentSince Feb 1, 2014 Accepting new patients
Body Rehab Center PastSince Aug 1, 2012 Accepting new patients

Locations

12207 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 770-7586

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1720335797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641166",
            "telephone_number": "310-770-7586",
            "fax_number": "310-826-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641166",
            "telephone_number": "310-770-7586",
            "fax_number": "310-826-4517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12207 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900252517",
            "country_code": "US",
            "telephone_number": "323-936-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT39223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.