Individual provider Active NPI

Joseph T Kersh, PT, DPT

  • Physical Therapist
  • Rohnert Park, CA
National Provider Identifier
1245842517
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304914 Issued in CA
Practice address
1331 Medical Center Dr
Rohnert Park, CA 94928-2900
Phone
(208) 661-2246
NPI assigned
Aug 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6969 ID
Physical Therapist 225100000X 304914 CA Primary

Addresses

Primary practice location

1331 Medical Center Dr
Rohnert Park, CA 94928-2900

Mailing address

708 W 15TH Ave
Post Falls, ID 83854-7218
Phone (208) 661-2246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002719 CA Practitioner - Physical Therapist in Private Practice 1557789575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peltz and Associates Physical Therapy IncGroup PAC ID 6002819075, 14 clinicians

Practice addresses (Care Compare)

140 Wikiup Dr
Santa Rosa, CA 95403-7756
Phone (707) 542-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6969IDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peltz and Associates Physical Therapy Inc Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Santa Rosa Back Fitness and Physical Therapy Inc Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients

Locations

140 Wikiup Dr
Santa Rosa, CA 95403
Phone (707) 542-5400

2798 Yulupa Ave
Ste 1
Santa Rosa, CA 95405
Phone (707) 527-4001

Organizations & group practices 2

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1245842517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W 15TH AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547218",
            "telephone_number": "208-661-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MEDICAL CENTER DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282900",
            "telephone_number": "208-661-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSH",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "6969",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

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