Individual provider Active NPI

Jake Michael Martin

  • Orthopedic Physical Therapist
  • Encinitas, CA
National Provider Identifier
1821443748
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
700 Garden View CT Ste 103
Encinitas, CA 92024-2478
Phone
(760) 632-6942
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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 Primary

Addresses

Primary practice location

700 Garden View CT Ste 103
Encinitas, CA 92024-2478

Mailing address

6102 Avenida Encinas
Ste E
Carlsbad, CA 92011-1005
Phone (760) 692-5142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000928 CA Practitioner - Physical Therapist in Private Practice 6800180134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaspar Physical Therapy a Professional CorporationGroup PAC ID 0648165761, 38 clinicians

Practice addresses (Care Compare)

6102 Avenida Encinas
Suite E
Carlsbad, CA 92011-1005
Phone (760) 634-9750

Merit-based Incentive Payment System (MIPS)

Final score
78.46 of 100Reported as individual
Quality
70
Improvement activities
40
Cost
83.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaspar Physical Therapy a Professional Corporation Orthopedic CurrentSince Jul 11, 2016 Accepting new patients

Locations

6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942

6102 Avenida Encinas
Ste E
Carlsbad, CA 92011
Phone (760) 634-9750

1004 N El Camino Real
Encinitas, CA 92024
Phone (760) 632-6942

700 Garden View Ct
Ste 103
Encinitas, CA 92024
Phone (760) 632-6942

3809 Plaza Dr
Ste 112
Oceanside, CA 92056
Phone (760) 941-2630

Organizations & group practices 1

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1821443748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 AVENIDA ENCINAS",
            "address_2": "STE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111005",
            "telephone_number": "760-692-5142",
            "fax_number": "760-634-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-632-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAKE",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.