Jeffrey Wayne Okerman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34265 Issued in CA

Practice address

225 Avenue I
Suite 110
Redondo Beach, CA 90277-5608

Phone

(310) 316-3577

Fax

(310) 316-3578

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Riviera Sports Physical Therapy IncGroup PAC ID 8426020363, 5 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.

• Riviera Sports Physical Therapy Inc

  • Physical Therapist
  • Redondo Beach, CA
  • NPI 1801929369
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1821259284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 AVENUE I",
            "address_2": "SUITE 110",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775608",
            "telephone_number": "310-316-3577",
            "fax_number": "310-316-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 AVENUE I",
            "address_2": "SUITE 110",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775608",
            "telephone_number": "310-316-3577",
            "fax_number": "310-316-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERMAN",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Ochoa
• Michael Stephen Oden, MA
• Kensuke Oishi
• Jennifer Okamoto
• Tsuyoshi Okawa, M.D.
• Lynn N Oku, O.D.
• Sarah Olesiuk
• Elizabeth Mishelle Oliva
• Chloe Marie Olson
• Margie Ong

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.