Individual provider Active NPI

Jacy E Harman

  • Physical Therapist
  • Menifee, CA
National Provider Identifier
1972268035
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
30141 Antelope Rd Ste a
Menifee, CA 92584-8066
Phone
(951) 304-7273
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

30141 Antelope Rd Ste a
Menifee, CA 92584-8066

Mailing address

24630 Washington Ave Ste 201
Murrieta, CA 92562-6177
Phone (195) 120-0362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211115002859 CA Practitioner - Physical Therapist in Private Practice 7113316019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mangan Physical Therapy IncGroup PAC ID 3971688839, 4 clinicians

Practice addresses (Care Compare)

29377 Rancho California Rd
Suite 100
Temecula, CA 92591-5206
Phone (951) 296-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mangan Physical Therapy Inc Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist CurrentSince Nov 9, 2021 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

29798 Haun Rd
Ste 201
Menifee, CA 92586
Phone (951) 679-8500

30141 Antelope Rd
Ste A
Menifee, CA 92584
Phone (951) 723-1866

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

29377 Rancho California Rd
Ste 100
Temecula, CA 92591
Phone (951) 296-0400

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1972268035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "195-120-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30141 ANTELOPE RD STE A",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848066",
            "telephone_number": "951-304-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "JACY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.