Individual provider Active NPI

Laurette Pepin, PT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1750430641
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29940 Issued in CA
Practice address
730 Empey Way
San Jose, CA 95128-4705
Phone
(408) 275-1500
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29940 CA Primary

Addresses

Primary practice location

730 Empey Way
San Jose, CA 95128-4705

Mailing address

730 Empey Way
San Jose, CA 95128-4705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000525 CA Practitioner - Physical Therapist in Private Practice 6709989783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imotion Physical Therapy, IncGroup PAC ID 2163585209, 22 clinicians

Practice addresses (Care Compare)

555 Mowry Ave
Suite E
Fremont, CA 94536-4101
Phone (510) 745-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29940CAMDPhysical Therapist
29940CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imotion Physical Therapy, Inc Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Omega Sports Rehabilitation, Inc. Physical Therapist CurrentSince Dec 22, 2024 Accepting new patients
B.E.S.T. Physical Therapy, a Prof Corp Physical Therapist PastSince May 20, 2010 Accepting new patients

Locations

555 Mowry Ave
Ste E
Fremont, CA 94536
Phone (510) 745-7000

39120 Argonaut Way
Fremont, CA 94538
Phone (510) 378-3036

730 Empey Way
San Jose, CA 95128
Phone (408) 275-1500

Organizations & group practices 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1750430641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EMPEY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EMPEY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284705",
            "telephone_number": "408-275-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPIN",
        "first_name": "LAURETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.