Jaclyn Nash

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

291656 Issued in CA

Practice address

4515 Ocean View Blvd Ste 320
La Canada Flintridge, CA 91011-1438

Phone

(818) 369-7620

Fax

(818) 369-7621

NPI assigned

Aug 1, 2016

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaron McGuinness Physical Therapist Inc

  dba Aspire Physical Therapy & Sports Performance

  • Physical Therapy Clinic/Center
  • La Canada, CA
  • NPI 1952787988
  Medicare reassignment NPD

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1962955518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 S FIGUEROA ST",
            "address_2": "APT 938",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122541",
            "telephone_number": "559-903-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 320",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910111438",
            "telephone_number": "818-369-7620",
            "fax_number": "818-369-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "291656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumita Mitra, DO
• Rena Mkhitaryan
• Ann Mori, PT
• Motion Picture Behavioral Health
• Abdulmunem Muqayad
• Neuro Network, Inc.
• Mealynne Ngu, MSN, APRN, CPNP-PC
• Michael Robert Obarski, PH.D.
• Oktanyan Dental Corporation (La Canada Smiles Dentistry Dental Group)
• Edward Nana Opoku Jr., D.O.

• Orthopedic Physical Therapist in La Canada Flintridge, CA
• Providers in La Canada Flintridge, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.