Jerry Joseph Hacker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

307278 Issued in CA

Practice address

30837 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039

Phone

(309) 373-2287

NPI assigned

Nov 19, 2024

Sex

Male

Sole proprietor

Yes

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic Physical Therapy IncGroup PAC ID 6507821436, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Athletic Physical Therapy Inc

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1114042165
  Medicare reassignment Care Compare group NPD
• Athletic Physical Therapy, Inc

  • Physical Therapist
  • Oxnard, CA
  • NPI 1487966719
  NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1750106241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 ALBERS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015104",
            "telephone_number": "309-373-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30837 E THOUSAND OAKS BLVD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624039",
            "telephone_number": "309-373-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "JERRY",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brian Gunn, MD
• Rodolfo Gutierrez, MD
• Tristan Thomas Guy
• Alexis Guzman
• Karo Gary Gyulyan
• David Hakimi, DMD
• Heather M Hall, M.A., MFT
• Janice Hall, PT
• Jason Hall
• Jefferson Cemore Hall IV

• Physical Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.