Individual provider Active NPI

Jennifer Gabelsberg, MPT

  • Orthopedic Physical Therapist
  • Torrance, CA
National Provider Identifier
1669781431
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT20633 Issued in CA
Practice address
20911 Earl St
300
Torrance, CA 90503-4352
Phone
(310) 370-1200
Fax
(310) 370-1233
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT20633 CA Primary

Addresses

Primary practice location

20911 Earl St
300
Torrance, CA 90503-4352

Mailing address

20911 Earl St
300
Torrance, CA 90503-4352
Phone (310) 370-1200

Other identifiers 1

IdentifierTypeStateIssuer
PT20633OtherCALICENSE NUMBER

Other names 1

  • Jennifer Johnson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000772 CA Practitioner - Physical Therapist in Private Practice 1254506892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Advantage Physical Therapy IncGroup PAC ID 5698940138, 24 clinicians

Practice addresses (Care Compare)

2842 Sepulveda Blvd
Torrance, CA 90505-2803
Phone (310) 370-1200

4301 Atlantic Ave
Suite 5
Long Beach, CA 90807-2833
Phone (310) 370-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20633CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Advantage Physical Therapy Inc Orthopedic CurrentSince Mar 15, 2011 Accepting new patients
Pearl Chiropractic Inc PastSince Jul 23, 2020 Accepting new patients

Locations

3711 Long Beach Blvd
Ste 805
Long Beach, CA 90807
Phone (310) 370-1200

4301 Atlantic Ave
Ste 5
Long Beach, CA 90807
Phone (310) 370-1200

3445 Pacific Coast Hwy
Ste 310
Torrance, CA 90505
Phone (310) 370-1200

20911 Earl St
Ste 300
Torrance, CA 90503
Phone (310) 370-1200

2842 Sepulveda Blvd
Torrance, CA 90505
Phone (310) 325-0800

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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1669781431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-370-1200",
            "fax_number": "310-370-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-370-1200",
            "fax_number": "310-370-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABELSBERG",
        "first_name": "JENNIFER",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT20633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT20633",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JOHNSON",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.