Individual provider Active NPI

Jennifer Carothers-Liske

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1386575553
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21521 Issued in CA
Practice address
3045 Santiago St
San Francisco, CA 94116-1526
Phone
(415) 759-2222
Fax
(415) 750-8624
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 21521 CA Primary

Addresses

Primary practice location

3045 Santiago St
San Francisco, CA 94116-1526

Mailing address

6125 Marshall St
Oakland, CA 94608-2221
Phone (510) 541-5148

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)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1386575553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 MARSHALL ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946082221",
            "telephone_number": "510-541-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 SANTIAGO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161526",
            "telephone_number": "415-759-2222",
            "fax_number": "415-750-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTHERS-LISKE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21521",
            "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 May 27, 2026; 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.