Jessica Kishorkumar Gaekwad

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045152 Issued in NY

Practice address

11410 Turtleback LN
San Diego, CA 92127-2016

Phone

(909) 699-5033

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Group practices

J. Lamendola Physical Therapy, P.C.Group PAC ID 6800141565, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• J. Lamendola Physical Therapy, P.C.

  • Physical Therapist
  • Staten Island, NY
  • NPI 1982004958
  Medicare reassignment Care Compare group NPD
• MFS Orthopedics PC

  • Orthopaedic Surgery Physician
  • Staten Island, NY
  • NPI 1871110403
  NPD

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1467072819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 TURTLEBACK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272016",
            "telephone_number": "909-699-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 TURTLEBACK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272016",
            "telephone_number": "909-699-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEKWAD",
        "first_name": "JESSICA KISHORKUMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varuna K Gadiyaram, M.D.
• Judy Gadler, L.AC
• Stephen J Gadler
• Tracie Lorraine Gadler, NP
• Maricar Gador, AGNP-C
• Angeles Gaerlan
• Adriana Gaeta, COTA/L
• Evelynn Gaeta
• Barbara A Gaetano, MFT
• Catherine M Gaetke, MA

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.