Individual provider Active NPI

Jennifer Heller-Juarez, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1164640777
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32979 Issued in CA
Practice address
1950 Sawtelle Blvd Ste 180
Los Angeles, CA 90025-7017
Phone
(310) 996-9355
Fax
(310) 231-3095
NPI assigned
Apr 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT32979 CA
Physical Therapist 225100000X PT32979 CA Primary

Addresses

Primary practice location

1950 Sawtelle Blvd Ste 180
Los Angeles, CA 90025-7017

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

11500 W Olympic Blvd Ste 540
Los Angeles, CA 90064-1525
Phone (310) 231-3001

Other practice location 2

25751 McBean Pkwy Ste 200
Valencia, CA 91355-3701
Phone (661) 284-3155

Other practice location 3

2211 W Magnolia Blvd Ste 160
Burbank, CA 91506-1757
Phone (818) 876-4195

Other names 1

  • Jennifer Heller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140618001843 CA Practitioner - Physical Therapist in Private Practice 4789808403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 5294958815, 84 clinicians

Practice addresses (Care Compare)

1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000

2211 W Magnolia Blvd
Suite 160
Burbank, CA 91506-1757
Phone (661) 284-3155

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
87.27
Promoting interoperability
100
Improvement activities
40
Cost
74.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32979CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Dec 5, 2024 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2014 Accepting new patients
The Regents of the University of California CurrentSince Dec 5, 2024 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2014 Accepting new patients

Locations

2211 W Magnolia Blvd
Ste 160
Burbank, CA 91506
Phone (818) 876-4195

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 59755
Los Angeles, CA 90074

1950 Sawtelle Blvd
Ste 180
Los Angeles, CA 90025
Phone (310) 231-3001

File 55737
Los Angeles, CA 90074

11500 W Olympic Blvd
Ste 540
Los Angeles, CA 90064
Phone (310) 231-3001

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

25751 McBean Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 284-3155

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1164640777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD STE 180",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257017",
            "telephone_number": "310-996-9355",
            "fax_number": "310-231-3095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 W Olympic Blvd Ste 540",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900641525",
            "country_code": "US",
            "telephone_number": "310-231-3001",
            "fax_number": "310-231-3095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25751 McBean Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913553701",
            "country_code": "US",
            "telephone_number": "661-284-3155",
            "fax_number": "661-284-3170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 W Magnolia Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915061757",
            "country_code": "US",
            "telephone_number": "818-876-4195",
            "fax_number": "818-729-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER-JUAREZ",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT32979",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HELLER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.