NPI Code Detail JSON Logo

1538433016 NPI number — JARED KING BARLOW PT, MPT

NPI Number: 1538433016
Health Care Provider/Practitioner: JARED KING BARLOW PT, MPT

Information about “1538433016” NPI (JARED KING BARLOW PT, MPT) exists in 1538433016 in HTML format HTML  |  1538433016 in plain Text format TXT  |  1538433016 in PDF (Portable Document Format) PDF  |  1538433016 in an XML format XML  formats.

NPI Number : 1538433016 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538433016",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARLOW",
    "FirstName": "JARED",
    "MiddleName": "KING",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PT, MPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24 DIAMOND",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IRVINE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92620-2143",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-246-0912",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "34241 PACIFIC COAST HWY STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANA POINT",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92629-3845",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-496-3896",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2012",
    "LastUpdateDate": "03/28/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "38812",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.