Individual provider Active NPI

Jordan Labrec, PT

  • Physical Therapist
  • Burlingame, CA
National Provider Identifier
1194338962
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT300286 Issued in CA
Practice address
225 California Dr
Burlingame, CA 94010-4145
Phone
(650) 341-9131
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT300286 CA Primary
Physical Therapist 225100000X 25127 MA

Addresses

Primary practice location

225 California Dr
Burlingame, CA 94010-4145

Mailing address

266 E Berkeley St Apt 646
Boston, MA 02118-2954
Phone (360) 791-5750

Other practice location 1

26 Massachusetts Ave
Arlington, MA 02474-8620
Phone (617) 828-5617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804003762 CA Practitioner - Physical Therapist in Private Practice 4880004068 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT300286CAMDPhysical Therapist
25127MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jul 28, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 28, 2025 Accepting new patients
UCSF Dept of Surgery Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

1500 Owens St
Ste 400
San Francisco, CA 94158
Phone (415) 353-7598

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 5

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1194338962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 E BERKELEY ST APT 646",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182954",
            "telephone_number": "360-791-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CALIFORNIA DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104145",
            "telephone_number": "650-341-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MA",
            "postal_code": "024748620",
            "country_code": "US",
            "telephone_number": "617-828-5617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABREC",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT300286",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.