JACOB LUTHER HALMRAST DPT
NPI 1609607142
Physical Therapist - Sports in Costa Mesa, CA
About Jacob Luther Halmrast Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB LUTHER HALMRAST DPT (NPI 1609607142) is an individual sports provider in Costa Mesa, California, licensed in California (306578) and active in the NPI registry since August 2024. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Luther Halmrast Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Halmrast reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 111 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COSTA MESA, CA 92626
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 Jacob Halmrast's NPI number?
The NPI number for Jacob Halmrast is 1609607142. It was assigned to this individual provider in the NPPES registry on August 7, 2024.
Where is Jacob Halmrast located?
Jacob Halmrast practices at 2777 Bristol St, Costa Mesa, CA 92626. The listed phone number is (949) 250-1112.
What is Jacob Halmrast's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.
Is Jacob Halmrast enrolled in Medicare?
Yes. Jacob Halmrast is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacob Halmrast's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Halmrast reassigns Medicare benefits to Prosport Physical Therapy Professionals Inc (Costa Mesa, 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 Jacob Halmrast'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 Jacob Halmrast was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jacob Luther Halmrast, DPT · NPI 1609607142
Sports provider in Costa Mesa, California. Individual provider, active in the CMS NPPES registry since August 7, 2024.
## Identity
- **NPI:** 1609607142 (Entity type: Individual)
- **Enumerated:** August 7, 2024
- **Primary specialty:** Physical Therapist - Sports · taxonomy 2251S0007X
- **State license:** 306578 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2777 BRISTOL ST, Costa Mesa, CA 92626-5997
- **Phone:** (949) 250-1112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Prosport Physical Therapy Professionals Inc (NPI 1073170437, Costa Mesa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609607142) · Data from the CMS NPPES public registry.