Active NPI
Jake Michael Martin
- Orthopedic Physical Therapist
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- 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
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 |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 70
- Improvement activities
- 40
- Cost
- 83.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaspar Physical Therapy a Professional Corporation | Orthopedic | Current | 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.
-
- Specialist
- Carlsbad, CA
- NPI 1952544405
Orthopedic
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.