Active NPI
Jennifer Herbek
- Physical Therapist
- Walnut Creek, CA
National Provider Identifier
1619430451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT294093
- Practice address
- 1449 Ygnacio Valley Rd
Walnut Creek, CA 94598-2932 - Phone
- (925) 939-5820
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT294093 | CA | Primary |
Addresses
Primary practice location
1449 Ygnacio Valley Rd
Walnut Creek, CA 94598-2932
Mailing address
349 Borica Dr
Danville, CA 94526-5401
Phone (860) 324-0697
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lcvrehab@therapyspecialists.net | Direct | |
| CONNECT URL | lcvrehab@therapyspecialist.net |
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 |
|---|---|---|---|
| PT294093 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1619430451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 BORICA DR",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945265401",
"telephone_number": "860-324-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982932",
"telephone_number": "925-939-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBEK",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT294093",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lcvrehab@therapyspecialists.net",
"affiliation": "N",
"endpointDescription": "work",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1449 Ygnacio Valley Rd",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945982932",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lcvrehab@therapyspecialist.net",
"affiliation": "N",
"address_1": "1449 Ygnacio Valley Rd",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945982932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.