Jennifer Lyn Gleim, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20493 Issued in CA

Practice address

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223

Phone

(858) 966-5829

Fax

(858) 966-5859

NPI assigned

Feb 7, 2007

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FunctionsmartGroup PAC ID 5597825380, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Functionsmart

  • Physical Therapist
  • San Diego, CA
  • NPI 1518132901
  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Developmental Therapy Center

  • Specialist
  • San Diego, CA
  • NPI 1558459289
  NPD (past)
• Rady Children'S Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1174907216
  NPD (past)
• Rady Children'S Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1184008229
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1609916873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 GOVERNOR DR",
            "address_2": "STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5829",
            "fax_number": "858-966-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEIM",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Gleason
• Sheila A Gleason, PHD
• Charles E. Gleeson, PMHNP
• Joseph Gerard Gleeson, M.D.
• Julia Star Gleichman, MD
• Sara Gleiss, ANP
• Glen F Pastores
• Glenn a. Miller, D.P.M.,P.C.
• Glenn C. Ashmore DDS, Inc.
• Glenn Casey Ashmore Dental Corp.

• 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 Mar 18, 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.