Individual provider Active NPI

Jennifer Brittny Werner, DPT

  • Physical Therapist
  • La Mesa, CA
National Provider Identifier
1174864524
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302720 Issued in CA
Practice address
4949 Baltimore Dr Apt 101
La Mesa, CA 91942-6501
Phone
(619) 410-7169
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011882A IN
Physical Therapist 225100000X PT40005 CA
Pediatric Physical Therapist 2251P0200X 302720 CA
Physical Therapist 225100000X 302720 CA Primary

Addresses

Primary practice location

4949 Baltimore Dr Apt 101
La Mesa, CA 91942-6501

Mailing address

4949 Baltimore Dr Apt 101
La Mesa, CA 91942-6501
Phone (619) 410-7169

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jenny@bigstepstherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40005CAMDLicensed Psychiatric Technician
302720CAMDPhysical Therapist
05011882AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Steps Physical Therapy, P.C. CurrentSince Dec 13, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1174864524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BALTIMORE DR APT 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426501",
            "telephone_number": "619-410-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BALTIMORE DR APT 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426501",
            "telephone_number": "619-410-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "JENNIFER",
        "middle_name": "BRITTNY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011882A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40005",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "302720",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jenny@bigstepstherapy.com",
            "affiliation": "N",
            "endpointDescription": "G suite Business with encrypted email",
            "address_1": "4949 Baltimore Dr Apt 101",
            "city": "LA Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919426501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.