Individual provider Active NPI

Jennifer N Lichti

  • Physical Therapist
  • Concord, CA
National Provider Identifier
1013554989
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT302178 Issued in CA
Practice address
2996 Glenside CT
Concord, CA 94520-4612
Phone
(925) 768-9306
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT027449 PA
Physical Therapist 225100000X PT60798852 WA
Physical Therapist 225100000X PT302178 CA Primary

Addresses

Primary practice location

2996 Glenside CT
Concord, CA 94520-4612

Mailing address

3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109

Other practice location 1

2707 171st Pl NE Ste 101
Marysville, WA 98271-4740
Phone (360) 386-7401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220908001491 CA Practitioner - Physical Therapist in Private Practice 6800221573 Reassigns benefits to 5 organizations
I20260520003727 AK Practitioner - Physical Therapist in Private Practice 6800221573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Health and Wellness Physical Therapy IncGroup PAC ID 3870775604, 14 clinicians

Practice addresses (Care Compare)

4079 Tongass Ave
Suite 102
Ketchikan, AK 99901-5559
Phone (907) 225-7808

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT302178CAMDPhysical Therapist
PT60798852WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Mar 11, 2024 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Mar 11, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
More Physical Therapy, Inc. Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jul 29, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jul 29, 2025 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Shasta Lake Physical Therapy Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075

1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211

1800 Sutter St
Ste 100
Concord, CA 94520
Phone (925) 691-0500

1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018

22533 Foothill Blvd
Hayward, CA 94541
Phone (510) 378-2114

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

5061 Shasta Dam Blvd
Shasta Lake, CA 96019
Phone (530) 275-0777

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

116 S Lassen St
Willows, CA 95988
Phone (530) 934-2870

Interoperability endpoints

  • Direct secure messaging: jennifer.lichti.p1@direct.muirortho.nextgenshare.com
  • Direct secure messaging: jennifer.lichti.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1013554989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GOFFS FALLS RD STE 101",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031036109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 GLENSIDE CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204612",
            "telephone_number": "925-768-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 171st Pl NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714740",
            "country_code": "US",
            "telephone_number": "360-386-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTI",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027449",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60798852",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.

Verify at the official NPI Registry.