Nkese Japhia Jack, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3300 E South St Ste 203
Lakewood, CA 90805-4589

Phone

(526) 512-3320

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Rehabilitation and Sports Therapy a California Physical theGroup PAC ID 6709788896, 182 clinicians

Functional Rehabilitation Physical Therapy PCGroup PAC ID 0941604417, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Functional Rehabilitation Physical Therapy PC

  dba The PT People

  • Physical Therapy Clinic/Center
  • Lakewood, CA
  • NPI 1063083723

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy-West Covina

  • Physical Therapist
  • Baldwin Park, CA
  • NPI 1437666443
  NPD
• Rehabilitation Dynamics Inc

  • Physical Therapist
  • Lakewood, CA
  • NPI 1548460157
  NPD (past)

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1235024647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 KINGSDALE AVE APT 216",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784663",
            "telephone_number": "224-292-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 203",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054589",
            "telephone_number": "526-512-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "NKESE",
        "middle_name": "JAPHIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Eisenstein MD a Prof Corp
• Stacy Isaacs
• Ismile Dental Care
• J Byun DDS PC
• J W Schlingman Chiropractic Inc
• Aaron M Jackson
• Micole Jackson
• Jacob Rekem MD Inc
• Maria Jacobo
• Chanell Jacobs

• Physical Therapist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.