Individual provider Active NPI

Ann Elizabeth Jeppesen, MPT

  • Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1376681023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15571 Issued in CA
Practice address
4919 Windplay Dr
Suite 4
El Dorado Hills, CA 95762-9621
Phone
(916) 939-6800
Fax
(916) 939-6874
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15571 CA Primary

Addresses

Primary practice location

4919 Windplay Dr
Suite 4
El Dorado Hills, CA 95762-9621

Mailing address

2550 Aberdeen LN
El Dorado Hills, CA 95762-5656
Phone (916) 941-1501

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

Practice roles

OrganizationSpecialtyStatusNew patients
Body Concepts Inc. Physical Therapist Past Accepting new patients
Foothill Physical Therapy, Inc. Physical Therapist PastSince Nov 6, 2017 Accepting new patients
Cameron Park Physical Therapy Center, Inc. Physical Therapist PastSince Sep 2, 2001 Accepting new patients

Organizations & group practices 3

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376681023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ABERDEEN LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625656",
            "telephone_number": "916-941-1501",
            "fax_number": "916-941-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 WINDPLAY DR",
            "address_2": "SUITE 4",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629621",
            "telephone_number": "916-939-6800",
            "fax_number": "916-939-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPESEN",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "15571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.