JAM SPORTS AND SPINE
NPI 1962895805
Clinic/Center - Physical Therapy in North Hollywood, CA

Active since March 17, 2015
12813 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606(183) 924-9508(323) 935-5933 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jam Sports And Spine NPPES

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

JAM SPORTS AND SPINE (NPI 1962895805) is a healthcare organization registered as a physical therapy in North Hollywood, California and active in the NPI registry since March 2015. The organization lists Joshua Abraham Mazalian, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1962895805
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameJAM SPORTS INC
Location Address12813 VICTORY BLVDNorth Hollywood, CA 91606
Mailing Address12813 Victory BlvdNorth Hollywood, CA 91606 · (818) 392-4950 · Fax (323) 935-5933
Fax(323) 935-5933
Organization SubpartNo
Authorized OfficialJoshua Abraham MazalianChief Executive Officer · (818) 392-4950
Enumeration DateMarch 17, 2015
Last NPPES UpdateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1962895805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in CA · 37937
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
12813 VICTORY BLVD, North Hollywood, CA 91606

Other Names 1

Other NameJam Sports And Spine

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jam Sports And Spine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jam Sports And Spine, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1154594240
10250 SANTA MONICA BLVD STE 2440
Los Angeles, CA 90067
(310) 286-0122
✔ Accepts Medicare8.8 mi
Physical Therapist in Private Practice
NPI 1396024378
7658 SHOUP AVE
Canoga Park, CA 91304
(702) 788-3495
✔ Accepts Medicare12 mi

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

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 Jam Sports Inc's NPI number?

The NPI number for Jam Sports Inc is 1962895805. It was assigned to this organization in the NPPES registry on March 17, 2015. The provider is also known as Jam Sports And Spine.

Where is Jam Sports Inc located?

Jam Sports Inc is located at 12813 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (183) 924-9508.

What is Jam Sports Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Jam Sports Inc enrolled in Medicare?

Yes. Jam Sports Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jam Sports Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Jam Sports Inc. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jam Sports Inc was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.