Active NPI
Jennifer Willmes
- Physical Therapy Assistant
- San Jose, CA
National Provider Identifier
1457294027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 50757
- Practice address
- 2021 Coastland Ave
San Jose, CA 95125-2516 - Phone
- (415) 310-5703
- NPI assigned
- Apr 10, 2026
- Last updated
- Apr 10, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 50757 | CA | Primary |
Addresses
Primary practice location
2021 Coastland Ave
San Jose, CA 95125-2516
Mailing address
2021 Coastland Ave
San Jose, CA 95125-2516
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50757 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1457294027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 COASTLAND AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951252516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 COASTLAND AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951252516",
"telephone_number": "415-310-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMES",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-04-10",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "50757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.