Individual provider Active NPI

Jennifer D Jung, PT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1376695197
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26071 Issued in CA
Practice address
1162B Gorgas Ave
San Francisco, CA 94129-1406
Phone
(415) 561-6655
Fax
(415) 561-6650
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 26071 CA Primary

Addresses

Primary practice location

1162B Gorgas Ave
San Francisco, CA 94129-1406

Mailing address

PO Box 470607
San Francisco, CA 94147-0607
Phone (415) 561-6655

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000642 CA Practitioner - Physical Therapist in Private Practice 9436051000 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matoso-Tognetti, Inc. Physical Therapist CurrentSince May 19, 2015 Accepting new patients
Shasta Health Physical Therapy, P.C. Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist PastSince Apr 6, 2021 Accepting new patients
MMT Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1810 Gateway Dr
Ste 110
San Mateo, CA 94404
Phone (650) 345-2739

Organizations & group practices 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1376695197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470607",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941470607",
            "telephone_number": "415-561-6655",
            "fax_number": "415-561-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162B GORGAS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941291406",
            "telephone_number": "415-561-6655",
            "fax_number": "415-561-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "877-390-6659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.