Individual provider Active NPI

Jessica Lynn Bobeda, DPT

  • Physical Therapist
  • Gilroy, CA
National Provider Identifier
1639773112
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299373 Issued in CA
Practice address
1395 1St St Ste 100
Gilroy, CA 95020-3876
Phone
(408) 846-6000
Fax
(408) 512-2240
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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 299373 CA Primary

Addresses

Primary practice location

1395 1St St Ste 100
Gilroy, CA 95020-3876

Mailing address

1395 1St St Ste 100
Gilroy, CA 95020-3876
Phone (408) 846-6000

Other names 1

  • Jessica Lynn Alameda Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128001016 CA Practitioner - Physical Therapist in Private Practice 1153735485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Creek Fitness and Physical TherapyGroup PAC ID 7012994791, 38 clinicians

Practice addresses (Care Compare)

1395 1St St
Suite 100
Gilroy, CA 95020-3876
Phone (408) 846-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299373CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Creek Physical Therapy Gilroy Physical Therapist CurrentSince May 7, 2023 Accepting new patients
Silver Creek Fitness and Physical Therapy Physical Therapist CurrentSince Aug 8, 2023 Accepting new patients

Locations

1395 1st St
Ste 100
Gilroy, CA 95020
Phone (408) 703-8582

5600 Mowry School Rd
Ste 305
Newark, CA 94560
Phone (510) 651-9258

4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552

121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1639773112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 1ST ST STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203876",
            "telephone_number": "408-846-6000",
            "fax_number": "408-512-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 1ST ST STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203876",
            "telephone_number": "408-846-6000",
            "fax_number": "408-512-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBEDA",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ALAMEDA",
            "middle_name": "LYNN",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; 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.