Active NPI
Jeff Morris Marks, PHYSICAL THERAPIST
- Specialist
- Encino, CA
National Provider Identifier
1760613871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT16909
- Practice address
- 16500 Ventura Blvd
Suite 360
Encino, CA 91436-2016 - Phone
- (818) 986-1210
- NPI assigned
- Aug 6, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT16909 | CA | Primary |
Addresses
Primary practice location
16500 Ventura Blvd
Suite 360
Encino, CA 91436-2016
Mailing address
16626 Lauren Way
Encino, CA 91436-4830
Phone (310) 251-2808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT16909 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT16909 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1760613871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16626 LAUREN WAY",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364830",
"telephone_number": "310-251-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD",
"address_2": "SUITE 360",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362016",
"telephone_number": "818-986-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "JEFF",
"middle_name": "MORRIS",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT16909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "PT16909",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.