Jasmine Martin, P.T., D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292279 Issued in CA

Practice address

2290 SE Bristol St
Newport Beach, CA 92660-0746

Phone

(949) 675-2922

NPI assigned

Dec 16, 2016

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic Physical Therapy IncGroup PAC ID 6507821436, 10 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Athletic Physical Therapy Inc

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1114042165
  Medicare reassignment Care Compare group NPD
• Khodabakhshian Chiropractic Inc

  • Chiropractor
  • Thousand Oaks, CA
  • NPI 1366521106
  Medicare reassignment NPD
• Athletic Physical Therapy, Inc

  • Physical Therapist
  • Oxnard, CA
  • NPI 1487966719
  NPD
• Newsport Physical Therapy

  • Physical Therapist
  • Corona del Mar, CA
  • NPI 1831258789
  NPD (past)

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1972047595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21142 CANADA RD APT 3H",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 SE BRISTOL ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600746",
            "telephone_number": "949-675-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Married to Health
• Elaina Marrujo, M.A. CCC-SLP
• Stacy J Marsh, AMFT
• Cameron Marshall
• Jennifer Silva Marshall, PHD
• Jennifer Martin, PSY.D
• Jocelyne N Martin
• Lidia Martin
• Mayah Martin
• Shivani Bhatia Martin, M.D.

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.