Jamil Kassam, PT, DPT
Physical Therapist in Chula Vista, CA. Individual provider (NPI-1).
Details
- NPI
- 1124746599
- Entity type
- Individual (NPI-1)
- Name
- Jamil Kassam
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2022
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 302764 | CA | Yes |
Practice location
861 Harold Pl Ste 210Chula Vista, CA 91914-4555
Phone 858-755-5200 · Fax 619-870-2693
Mailing address
861 Harold Pl Ste 210Chula Vista, CA 91914-4555
Phone 858-755-5200 · Fax 619-870-2693
Other practice locations
La Mesa, CA 91942-3012
Phone 858-755-5200 · Fax 619-433-6377
La Mesa, CA 91942-2952
Phone 858-755-5200 · Fax 619-433-6377
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 214 Physical Therapist providers in Chula Vista · All 6,502 providers in Chula Vista
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