Justin Herbert Jellin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39695 Issued in CA

Practice address

332 Pine St Ste 202
San Francisco, CA 94104-3214

Phone

(415) 732-5608

NPI assigned

Mar 15, 2013

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

G Sports Physical Therapy, Inc.Group PAC ID 3173792538, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• G Sports Physical Therapy, Inc.

  • Physical Therapist
  • Berkeley, CA
  • NPI 1396044194
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1902148935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 PINE ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 PINE ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043214",
            "telephone_number": "415-732-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLIN",
        "first_name": "JUSTIN",
        "middle_name": "HERBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelani, Inc
• Jelani, Inc
• Jelani, Inc
• Jelani, Inc
• Jelani, Inc
• Mojgan Jelveh, PHD
• John Michael Jemerin, M.D.
• Alexandra Jen-Martin, MD
• Benson B Jen, PHARMD
• Julia Huei-Lin Jen

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.