Karissa Jones, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43389 Issued in CA

Practice address

144 W Los Angeles Ave Ste 110
Moorpark, CA 93021-4218

Phone

(805) 552-1915

NPI assigned

Dec 21, 2015

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karissa Smith Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Xcel Physical Therapy and Wellness Center PCGroup PAC ID 9638696586, 4 clinicians

Xcelerate Physical Therapy Inc.Group PAC ID 4385621374, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Xcel Physical Therapy & Wellness Center PC

  • Physical Therapy Clinic/Center
  • Moorpark, CA
  • NPI 1932912094

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Xcelerate Physical Therapy Inc.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1306814124
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1730544545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W LOS ANGELES AVE STE 110",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930214218",
            "telephone_number": "805-552-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W LOS ANGELES AVE STE 110",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930214218",
            "telephone_number": "805-552-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KARISSA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARISSA",
            "last_name": "SMITH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Jerrems
• JLL Dental Inc
• Shannon Johnson, MSPT
• Amy Elizabeth Jones, MD
• David Jones
• Marc Warren Judd, M.D.
• Alisa Carrie Kalberg, M.S.
• Marcela Catalina Kampmeyer, LVN
• Misun Kang
• Amani Kanj

• Physical Therapist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.