Active NPI
Jessica Renee Poon, PT, DPT
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1831964659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305146
- Practice address
- 3129 Vicente St
San Francisco, CA 94116-2740 - Phone
- (415) 661-1057
- NPI assigned
- Nov 21, 2023
- 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 | 305146 | CA | Primary |
Addresses
Primary practice location
3129 Vicente St
San Francisco, CA 94116-2740
Mailing address
1216 Clay St Apt 202
San Francisco, CA 94108-1477
Phone (415) 627-7907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 15TH St
Suite 36a
San Francisco, CA 94103-5032
Phone (415) 682-9902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305146 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Bar, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3401 Taraval St
San Francisco, CA 94116
Phone (415) 682-9902
550 15th St
Ste 36A
San Francisco, CA 94103
Phone (415) 682-9902
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1831964659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 CLAY ST APT 202",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081477",
"telephone_number": "415-627-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 VICENTE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162740",
"telephone_number": "415-661-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "JESSICA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.