MARISA KIRSTEN JUNG PT, DPT
NPI 1275366221
Physical Therapist in Los Angeles, CA

Active since August 24, 2024
1500 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-8850 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2025, Aug 24, 2024 (2 updates tracked since 2024).

About Marisa Kirsten Jung Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA KIRSTEN JUNG PT, DPT (NPI 1275366221) is an individual physical therapist in Los Angeles, California, licensed in California (306746) and active in the NPI registry since August 2024. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1275366221
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARISA KIRSTEN JUNGCredential: PT, DPT
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing Address1640 Marengo StLos Angeles, CA 90033-1036 · (323) 865-1200
Sole ProprietorNo
Enumeration DateAugust 24, 2024
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1275366221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 306746
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1500 SAN PABLO ST, Los Angeles, CA 90033

Secondary Practice Location 1

Location 11640 Marengo St Ste 102Los Angeles, CA 90033-1061 · Phone (323) 865-1200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Kirsten Jung Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Marisa Jung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Jung's NPI number?

The NPI number for Marisa Jung is 1275366221. It was assigned to this individual provider in the NPPES registry on August 24, 2024.

Where is Marisa Jung located?

Marisa Jung practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-8850.

What is Marisa Jung's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Marisa Jung enrolled in Medicare?

Yes. Marisa Jung is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisa Jung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Jung reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Jung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisa Jung was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.