Individual provider Active NPI

Jiaer Gao

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1205710233
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
13425 Ventura Blvd Ste 200
Sherman Oaks, CA 91423-3997
Phone
(860) 634-0585
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

13425 Ventura Blvd Ste 200
Sherman Oaks, CA 91423-3997

Mailing address

275 E Green St Apt 1445
Pasadena, CA 91101-4418
Phone (860) 634-0585

Other practice location 1

275 E Green St Apt 1445
Pasadena, CA 91101-4418
Phone (860) 634-0585

Other practice location 2

350 S Lake Ave Ste 220
Pasadena, CA 91101-3579
Phone (860) 634-0585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922002079 CA Practitioner - Physical Therapist in Private Practice 5698279669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pilates PT Physical Therapy IncGroup PAC ID 6709155609, 6 clinicians

Practice addresses (Care Compare)

13425 Ventura Blvd
Suite 200
Sherman Oaks, CA 91423-3997
Phone (818) 877-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Pilates PT Physical Therapy Inc Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients

Locations

350 S Lake Ave
Ste 220
Pasadena, CA 91101
Phone (626) 798-7805

13425 Ventura Blvd
Ste 200
Sherman Oaks, CA 91423
Phone (818) 877-6910

Organizations & group practices 1

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": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1205710233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E GREEN ST APT 1445",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014418",
            "telephone_number": "860-634-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 VENTURA BLVD STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233997",
            "telephone_number": "860-634-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 E Green St Apt 1445",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911014418",
            "country_code": "US",
            "telephone_number": "860-634-0585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Lake Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911013579",
            "country_code": "US",
            "telephone_number": "860-634-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO",
        "first_name": "JIAER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.