Organization Active NPI

Jam Physical Therapy PC

  • Physical Therapist
  • Pleasant Hill, CA
National Provider Identifier
1083013163
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JAM PHYSICAL THERAPY PC
Practice address
175 Cleaveland Rd
Pleasant Hill, CA 94523-3875
Phone
(925) 287-0056
Fax
(925) 287-0057
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Josiah Anderson, PT
Title
Ceo
Phone
(925) 287-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

175 Cleaveland Rd
Pleasant Hill, CA 94523-3875

Mailing address

175 Cleaveland Rd
Pleasant Hill, CA 94523-3875
Phone (925) 287-0056

Other names 1

  • PHYAICAL REHAB AND WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1083013163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CLEAVELAND RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233875",
            "telephone_number": "925-287-0056",
            "fax_number": "925-287-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CLEAVELAND RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233875",
            "telephone_number": "925-287-0056",
            "fax_number": "925-287-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-287-0056",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYAICAL REHAB AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.