Active NPI
Jessica J Wu, DPT
- Sports Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 304254
- Practice address
- 5190 Governor Dr Ste 107
San Diego, CA 92122-2848 - Phone
- (858) 304-6440
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Sports Physical Therapist | 2251S0007X | 304254 | CA | Primary |
Addresses
Primary practice location
5190 Governor Dr Ste 107
San Diego, CA 92122-2848
Mailing address
5190 Governor Dr Ste 107
San Diego, CA 92122-2848
Phone (858) 452-0282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Duke University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Sports | Current | Accepting new patients |
| Orthopaedic and Neurological Rehab Inc | Sports | Current | Accepting new patients |
| Functionsmart | Sports | Current | Accepting new patients |
| Developmental Therapy Center | Past | Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
2727 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (858) 452-0282
5190 Governor Dr
Ste 107
San Diego, CA 92122
Phone (858) 452-0282
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Interoperability endpoints
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
CA, Sports
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Specialist
- San Diego, CA
- NPI 1558459289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1003383514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5190 GOVERNOR DR STE 107",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222848",
"telephone_number": "858-452-0282",
"fax_number": "858-452-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 GOVERNOR DR STE 107",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222848",
"telephone_number": "858-304-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JESSICA",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "304254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.