Individual provider Active NPI

Jessica Esser

  • Geriatric Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1386132116
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
24355 Issued in CA
Practice address
580 S San Vicente Blvd
Los Angeles, CA 90048-4621
Phone
(323) 782-1513
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 24355 CA Primary

Addresses

Primary practice location

580 S San Vicente Blvd
Los Angeles, CA 90048-4621

Mailing address

467 Arnaz Dr Apt 108
Los Angeles, CA 90048-3950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130002877 OH Practitioner - Physical Therapist in Private Practice 2264800945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient at Home LLCGroup PAC ID 6204248784, 38 clinicians

Practice addresses (Care Compare)

965 High St
Worthington, OH 43085-4065
Phone (614) 784-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24355CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient at Home LLC Geriatrics CurrentSince Nov 1, 2022 Accepting new patients
Columbus Physical Therapy, LLC PastSince Nov 1, 2022 Accepting new patients

Locations

965 High St
Worthington, OH 43085
Phone (614) 327-2362

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1386132116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 ARNAZ DR APT 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484621",
            "telephone_number": "323-782-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "24355",
            "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 Apr 26, 2018; 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.