Individual provider Active NPI

Jenny Asim Gadia

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1326677485
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT295206 Issued in CA
Practice address
3756 W Avenue 40
Ste 2B
Los Angeles, CA 90065-3667
Phone
(323) 880-9938
Fax
(323) 344-2337
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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 PT295206 CA Primary

Addresses

Primary practice location

3756 W Avenue 40
Ste 2B
Los Angeles, CA 90065-3667

Mailing address

3756 W Avenue 40
Ste 2B
Los Angeles, CA 90065-3667
Phone (323) 880-9938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295206CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RJ Wellness Care Services LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Jenny Rehab Care Physical Therapy PC Physical Therapist CurrentSince Nov 19, 2023 Accepting new patients

Locations

3756 W Ave 40
Ste 2B
Los Angeles, CA 90065
Phone (323) 344-2337

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1326677485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 W AVENUE 40",
            "address_2": "STE 2B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653667",
            "telephone_number": "323-880-9938",
            "fax_number": "323-739-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 W AVENUE 40",
            "address_2": "STE 2B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653667",
            "telephone_number": "323-880-9938",
            "fax_number": "323-344-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADIA",
        "first_name": "JENNY",
        "middle_name": "ASIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.