Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna Raquel Marshall

Individual provider Physical Therapist · NPI 1598464992

Jenna Raquel Marshall is a Physical Therapist in Private Practice in Hermosa Beach, California. Qualified in 2022, 4 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

2615 Pacific Coast Hwy Ste 120
Hermosa Beach, CA 90254-2285
Phone: (310) 933-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT303678 (CA)

Record details

NPI number1598464992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2023
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023
Mailing address2903 Johnston Ave, Redondo Beach, CA 90278-1515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Hermosa Beach