Individual provider Active NPI

Jessica Mieke Claus Workman, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1780924704
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39927 Issued in CA
Practice address
9891 Irvine Center Dr.
Suite 110
Irvine, CA 92618
Phone
(949) 232-1955
Fax
(949) 668-7822
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39927 CA
Physical Therapist 225100000X PT39927 CA Primary

Addresses

Primary practice location

9891 Irvine Center Dr.
Suite 110
Irvine, CA 92618

Mailing address

9891 Irvine Center Dr.
Suite 110
Irvine, CA 92618
Phone (949) 232-1955

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39927CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipa Physio Oc Physical Therapy CurrentSince Dec 26, 2021 Accepting new patients
Ipa Physio Long Beach Physical Therapy Inc Physical Therapist Current Accepting new patients
Bartley Physical Therapy PC Physical Therapist PastSince Apr 1, 2011 Accepting new patients

Locations

9891 Irvine Center Dr
Ste 110
Irvine, CA 92618
Phone (949) 232-1955

Organizations & group practices 3

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": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1780924704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9891 IRVINE CENTER DR.",
            "address_2": "SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-232-1955",
            "fax_number": "949-668-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9891 IRVINE CENTER DR.",
            "address_2": "SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-232-1955",
            "fax_number": "949-668-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "JESSICA",
        "middle_name": "MIEKE CLAUS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39927",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.