Individual provider Active NPI

Jasmine Marie McPhatter

  • Occupational Therapist
  • Vista, CA
National Provider Identifier
1902266018
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11128 Issued in CA
Practice address
760 E Bobier Dr
Vista, CA 92084-3806
Phone
(760) 666-4649
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11128 CA Primary

Addresses

Primary practice location

760 E Bobier Dr
Vista, CA 92084-3806

Mailing address

1107 Via Lucero
Oceanside, CA 92056-4265
Phone (562) 416-7110

Other practice location 1

5508 Avenida Pacifica Way
Oceanside, CA 92057-5549
Phone (442) 222-5120

Other practice location 2

1107 Via Lucero
Oceanside, CA 92056-4265
Phone (562) 416-7110

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Beyond Pediatrics Speech Therapy, Corp. Occupational Therapist Past Accepting new patients

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902266018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 VIA LUCERO",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564265",
            "telephone_number": "562-416-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 E BOBIER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843806",
            "telephone_number": "760-666-4649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5508 Avenida Pacifica Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920575549",
            "country_code": "US",
            "telephone_number": "442-222-5120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Via Lucero",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564265",
            "country_code": "US",
            "telephone_number": "562-416-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHATTER",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.