Active NPI
Sarah Jay
- Physical Therapist
- Berkeley, CA
National Provider Identifier
1770964041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209275
- Practice address
- 2030 Addison Street, Suite 101
Berkeley, CA 94704 - Phone
- (510) 644-8031
- NPI assigned
- Jun 12, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305209275 | VA | Primary |
Addresses
Primary practice location
2030 Addison Street, Suite 101
Berkeley, CA 94704
Mailing address
332 Pine Street, Suite 202
San Francisco, CA 94104
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 |
|---|---|---|---|
| 42728 | CA | MD | Pharmacist |
| 2305209275 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1770964041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 PINE STREET, SUITE 202",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 ADDISON STREET, SUITE 101",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94704",
"telephone_number": "510-644-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAY",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.