Jennifer Gerdau, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 38723 Issued in CA

Practice address

13808 Mono Way
Sonora, CA 95370-8864

Phone

(209) 532-2928

Fax

(209) 532-2935

NPI assigned

Feb 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tuolumne Me-Wuk Indian Health Center IncGroup PAC ID 6507816386, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

47.39 of 100Reported as group

Quality

13.78

Promoting interoperability

0

Improvement activities

40

Cost

81.09

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.gerdau.p1@direct.tmwihc.nextgenshare.com

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.

• Tuolumne Mewuk Indian Health Center, Inc

  • Family Medicine Physician
  • Tuolumne, CA
  • NPI 1619952397
  Medicare reassignment Care Compare group NPD
• Tuolumne Me-Wuk Indian Health Center, Inc.

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1124286885
  NPD

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1699048017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13808 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708864",
            "telephone_number": "209-536-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13808 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708864",
            "telephone_number": "209-532-2928",
            "fax_number": "209-532-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDAU",
        "first_name": "JENNIFER",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 38723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary M. Deacon
• James Douglas Gearing, DDS
• Mark A Gee, MFT
• George Louis Balcarcel Chiropractic, Inc.
• Kelley William George, MD
• Sunni Erika Gessel, PMHNP-BC
• Arlene S Giordano, PHD
• Gold County Counseling a Licensed Clinical Social Worker Professional Corporation
• Gold Rush Home-Study Charter School
• Gold Street Corporation

• Physical Therapist in Sonora, CA
• Providers in Sonora, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.