Alexander Jerez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52750 Issued in CA

Practice address

350 Bollinger Canyon LN Ste a
San Ramon, CA 94582-4592

Phone

(925) 735-6414

NPI assigned

Aug 10, 2023

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pleasanton Physical Therapy Services, Inc.

  dba Back on Track Physical Therapy

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1336295138
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1235812736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27933 E 11TH ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444813",
            "telephone_number": "510-332-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOLLINGER CANYON LN STE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824592",
            "telephone_number": "925-735-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5976 W Las Positas Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945888506",
            "country_code": "US",
            "telephone_number": "925-426-6986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEREZ",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Jauregui
• Samanthi Aruni Jayasuriya, BCBA
• Jazmyne Jefferson
• Toril Jelter, MD
• Raven Jenkins
• Jesus I. Patino Jr., DDS, Ms, Inc
• Caroline Jeter
• Mohit Jethi
• Elisabeth Ruiyi Jiang, PMHNP
• Lucy Jimenez Lopez

• Physical Therapy Assistant in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.