Jessica Connor, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

296987 Issued in CA

Practice address

11610 Iberia PL Ste 100
San Diego, CA 92128-2452

Phone

(858) 485-6706

NPI assigned

Sep 25, 2019

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stac Physical Therapy Pfi IncGroup PAC ID 4789069337, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stac Physical Therapy Pfi, Inc

  dba Personally Fit , Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1427703354
  Medicare reassignment Care Compare group
• Optc Westside Inc

  dba Orthosport Physical Therapy

  • Physical Therapist
  • Culver City, CA
  • NPI 1942209242
  Medicare reassignment NPD
• Sportsfit Physical Therapy Corporation

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1558615492
  Medicare reassignment NPD
• Personally Fit Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1043390073
  NPD

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1184275604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 IBERIA PL STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282452",
            "telephone_number": "858-485-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 IBERIA PL STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282452",
            "telephone_number": "858-485-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296987",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "296987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyman Connolly, DC
• Brittany Connor, LCSW
• Caroline Lee Connor, NP
• Caroline M. Connor, M.D.
• James Brian Connor, PHARM.D.
• Kara Noelle Connor
• Lauren Connor
• Michael Edward Connor, PTA
• Willard Wesley Connor Jr., M.D.
• Emma Bailey Connors

• Orthopedic Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.