MR. JASON P VAN DYKE (NPI# 1487658720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487658720 |
| Entity Type | Individual |
| Full Name | MR. JASON P VAN DYKE |
| Credential | PT |
| Practice Address |
215 S Hickory St Ste 224 Escondido CA 92025-4393 |
| Mailing Address |
5395 Ruffin Rd Ste 201 San Diego CA 92123-1338 |
| Practice Telephone | 7608392905 |
| Practice Fax Number | 7608392901 |
| Mailing Telephone | 8002194419 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT 25655 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | OPT251550 | 01 |
| Street Address |
215 S HICKORY ST STE 224 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-4393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659804938 | Russell Scott Kaczmar | Physical Therapist | 215 S Hickory St, Ste. 112, Escondido, CA 92025-4359 | 2017-04-04 |
| 1790228500 | Donna M. Ganley-o'brien | Occupational Therapist | 215 S Hickory St, Suite 112, Escondido, CA 92025-4359 | 2016-11-28 |
| 1659722320 | Gabriel Milo Perpetua Jr. | Physical Therapist | 215 S Hickory St, Suite 112, Escondido, CA 92025-4359 | 2016-06-23 |
| 1346690153 | Hospice Care of The Coast Inc | Hospice Care, Community Based | 215 S Hickory St, Suite 200, Escondido, CA 92025-4359 | 2016-06-13 |
| 1235572009 | Babette Anne Farmer | Massage Therapist | 215 S Hickory St, Suite 106, Escondido, CA 92025-4359 | 2013-04-11 |
| 1558671636 | Ednan Ahmed, M.d. Inc | Ophthalmology | 215 S Hickory St, #102, Escondido, CA 92025-4359 | 2010-10-07 |
| 1568775161 | Functionmd Medical Center | Physical Medicine & Rehabilitation | 215 S Hickory St, Suite 118, Escondido, CA 92025-4359 | 2010-07-23 |
| 1336346972 | Tania Lorena Rivera | Internal Medicine | 215 S Hickory St, Suite 114, Escondido, CA 92025-4359 | 2007-06-28 |
| 1891918694 | Paul V Polishuk Md Inc | Specialist | 215 S Hickory St, Suite 114, Escondido, CA 92025-4359 | 2007-04-10 |
| 1215093125 | Ednan Ahmed | Ophthalmology | 215 S Hickory St, Ste 102, Escondido, CA 92025-4360 | 2006-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059634 | Karly Jayne Arroues | Physical Therapist | 255 N Elm St Ste 202, Escondido, CA 92025-3431 | 2020-10-01 |
| 1285249433 | Bayani Jemar Salinas | Physical Therapist | 2516 S Escondido Blvd Unit 108, Escondido, CA 92025-7072 | 2020-09-14 |
| 1194339374 | Shaun D Bry | Physical Therapist | 2413 N Summit Circle Gln, Escondido, CA 92026-3813 | 2020-09-03 |
| 1811542673 | Breanna Blancher | Physical Therapist | 1600 S Escondido Blvd, Escondido, CA 92025-6019 | 2019-08-07 |
| 1205393766 | Andrew Wright | Physical Therapist | 1955 Citracado Pkwy Ste 201, Escondido, CA 92029-4112 | 2019-02-20 |
| 1710466008 | Cyan Agena | Physical Therapist | 220 Encanto Dr, Escondido, CA 92027-3520 | 2018-08-08 |
| 1396240271 | Kathy Pharies | Physical Therapist | 14395 San Pasqual Way, Escondido, CA 92025-7544 | 2018-03-24 |
| 1679015994 | Ivy Grace Colbert | Physical Therapist | 457 N Elm Street, Escondido, CA 92025-3001 | 2016-11-17 |
| 1023560968 | Brandon King | Physical Therapist | 1815 E Valley Pkwy Ste 5, Escondido, CA 92027-2550 | 2016-10-26 |
| 1649624446 | Mary Heather Pepper | Physical Therapist | 805 Chamberlain Pl, Escondido, CA 92025-7656 | 2016-04-18 |
| Find all providers in ESCONDIDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.