Organization Active NPI

Jay West Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Oakland, CA
National Provider Identifier
1629651237
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JAY WEST PHYSICAL THERAPY INC
Practice address
330 2ND St
Oakland, CA 94607-4149
Phone
(510) 603-9945
Fax
(510) 216-0435
NPI assigned
May 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Joseph Westlake, PTNPI 1376922336
Title
Owner
Phone
(201) 916-6746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

330 2ND St
Oakland, CA 94607-4149

Mailing address

362 Euclid Ave Apt 107
Oakland, CA 94610-3239
Phone (201) 916-6746

Other identifiers 1

IdentifierTypeStateIssuer
1376922336MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708002770 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628513231 Receives reassigned benefits from 2 practitioners
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

330 2nd St
Oakland, CA 94607
Phone (510) 603-9945

6125 Medau Pl
Oakland, CA 94611
Phone (510) 339-2116

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1629651237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 EUCLID AVE APT 107",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103239",
            "telephone_number": "201-916-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 2ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074149",
            "telephone_number": "510-603-9945",
            "fax_number": "510-216-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY WEST PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-01",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "WESTLAKE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-916-6746",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376922336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.