Individual provider Active NPI

Jena Katherine Giardini, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1396236675
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296619 Issued in CA
Practice address
2365 Northside Dr Ste 100
San Diego, CA 92108-2710
Phone
(619) 804-3009
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018680 MI
Physical Therapist 225100000X PT-6443 ID
Physical Therapist 225100000X 296619 CA Primary

Addresses

Primary practice location

2365 Northside Dr Ste 100
San Diego, CA 92108-2710

Mailing address

8105 Baker Rd
Frankenmuth, MI 48734-9721
Phone (989) 493-9024

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
296619CAMDPhysical Therapist
PT-6443IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Level Eleven Howell, LLC CurrentSince Sep 24, 2023 Accepting new patients
Level Eleven Saginaw, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

1030 W Highland Rd
Howell, MI 48843
Phone (517) 546-9000

5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1396236675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 BAKER RD",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487349721",
            "telephone_number": "989-493-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 NORTHSIDE DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082710",
            "telephone_number": "619-804-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARDINI",
        "first_name": "JENA",
        "middle_name": "KATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018680",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6443",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.