Active NPI
Jennifer Lynn Hart, P.T.
- Physical Therapist
- Yorba Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35323
- Practice address
- 16615 Yorba Linda Blvd
Yorba Linda, CA 92886-2046 - Phone
- (714) 577-0745
- Fax
- (714) 577-8653
- NPI assigned
- Jan 20, 2009
- 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 | PT 35323 | CA | Primary |
Addresses
Primary practice location
16615 Yorba Linda Blvd
Yorba Linda, CA 92886-2046
Mailing address
16615 Yorba Linda Blvd
Yorba Linda, CA 92886-2046
Phone (714) 577-0745
Other names 1
- Jennifer Lynn Demers
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
571 Stanislaus Ave
Suite F
Angels Camp, CA 95222-9354
Phone (209) 736-0956
850 Sanguinetti Rd
Sonora, CA 95370-5280
Phone (209) 928-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 35323 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuolumne Me-Wuk Indian Health Center, Inc. | Current | Accepting new patients | |
| Theresa M Locke Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Tuolumne Mewuk Indian Health Center, Inc | Past | Accepting new patients | |
| Broberg Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
571 Stanislaus Ave
Ste F
Angels Camp, CA 95222
Phone (209) 736-0956
850 Sanguinetti Rd
Sonora, CA 95370
Phone (209) 694-3870
18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400
Organizations & group practices 4
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.
-
- Physical Therapist
- Angels Camp, CA
- NPI 1659399699
-
- Family Medicine Physician
- Tuolumne, CA
- NPI 1619952397
-
- Family Medicine Physician
- Sonora, CA
- NPI 1124286885
-
- Physical Therapist
- San Jose, CA
- NPI 1528170669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1871730416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16615 YORBA LINDA BLVD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928862046",
"telephone_number": "714-577-0745",
"fax_number": "714-577-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16615 YORBA LINDA BLVD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928862046",
"telephone_number": "714-577-0745",
"fax_number": "714-577-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "DEMERS",
"middle_name": "LYNN",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.