Active NPI
Jennifer Ann Warner, D.P.T.
- Orthopedic Physical Therapist
- Menlo Park, CA
National Provider Identifier
1679693873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 29613
- Practice address
- 68 Willow Rd
Menlo Park, CA 94025 - Phone
- (877) 390-6659
- Fax
- (916) 913-5646
- NPI assigned
- Mar 30, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 29613 | CA | Primary |
Addresses
Primary practice location
68 Willow Rd
Menlo Park, CA 94025
Mailing address
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659
Other practice location 1
15047 Los Gatos Blvd Ste 180
Los Gatos, CA 95032-2054
Phone (408) 358-6505
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29613 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy of Los Gatos | Orthopedic | Past | Accepting new patients |
| Agile Physical Therapy Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
- Orthopedic Physical Therapist
- Los Gatos, CA
- NPI 1114063153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1679693873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 WILLOW RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253653",
"telephone_number": "877-390-6659",
"fax_number": "916-913-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 WILLOW RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "877-390-6659",
"fax_number": "916-913-5646"
}
],
"practiceLocations": [
{
"address_1": "15047 Los Gatos Blvd Ste 180",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950322054",
"country_code": "US",
"telephone_number": "408-358-6505",
"fax_number": "408-358-6404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARNER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "29613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.