Individual provider Active NPI

Kim Jespersen, PT

  • Physical Therapist
  • Danville, CA
National Provider Identifier
1508224353
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27809 Issued in CA
Practice address
760 San Ramon Valley Blvd
Suite 100
Danville, CA 94526-4056
Phone
(925) 743-8905
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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 27809 CA Primary

Addresses

Primary practice location

760 San Ramon Valley Blvd
Suite 100
Danville, CA 94526-4056

Mailing address

760 San Ramon Valley Blvd
Suite 100
Danville, CA 94526-4056
Phone (925) 743-8905

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315001644 CA Practitioner - Physical Therapist in Private Practice 1850281858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barman and Sargent IncGroup PAC ID 2163317025, 15 clinicians

Practice addresses (Care Compare)

315 Diablo Rd
Suite 110
Danville, CA 94526-3409
Phone (925) 855-8343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27809CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barman & Sargent Inc Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Barman & Sargent Inc CurrentSince Sep 20, 2021 Accepting new patients

Locations

315 Diablo Rd
Ste 110
Danville, CA 94526
Phone (925) 855-8343

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1508224353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264056",
            "telephone_number": "925-743-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264056",
            "telephone_number": "925-743-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "877-390-6659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESPERSEN",
        "first_name": "KIM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.