Active NPI
Jenna Marie Kempf, PHYSICAL THERAPIST
- Orthopedic Physical Therapist
- San Diego, CA
National Provider Identifier
1720337660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 39324
- Practice address
- 2555 Camino del Rio South
102
San Diego, CA 92108 - Phone
- (619) 564-7120
- NPI assigned
- Sep 6, 2012
- Last updated
- Sep 6, 2012
- 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 | 39324 | CA | Primary |
Addresses
Primary practice location
2555 Camino del Rio South
102
San Diego, CA 92108
Mailing address
2555 Camino del Rio South
102
San Diego, CA 92108
Phone (619) 564-7120
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 |
|---|---|---|---|
| 39324 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mizuta & Associates Physical Therapy, Inc. | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mizuta & Associates Physical Therapy
- Orthopedic Physical Therapist
- San Diego, CA
- NPI 1376783076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1720337660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 CAMINO DEL RIO SOUTH",
"address_2": "102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-564-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 CAMINO DEL RIO SOUTH",
"address_2": "102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-564-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPF",
"first_name": "JENNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "39324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Judith Annette Kemp, D.O.
- Kathrine Kemp, RN, FNP
- Mylon Michael Kemp
- Carla R Kemper-Boyle, CRNA
- Jesse Kemper, SFIDC
- Lauren Kempiners, OT
- Christopher J Kempston, DDS
- Ken Dental Inc
- Ken Noguchi Marriage & Family Therapy Inc
- Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc (San Diego Internal Medicine Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.