Jenny Ky Tith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301462 Issued in CA

Practice address

4445 Eastgate Mall Ste 103
San Diego, CA 92121-1979

Phone

(450) 858-7118

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

No

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

University of Michigan Medical School, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT First Physical Therapy PCGroup PAC ID 0446786230, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• PT First Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1346078045

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Tassinari Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1760451561

  Physical Therapist

  NPD

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1902553498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 FENTON PKWY APT 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086771",
            "telephone_number": "734-649-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "450-858-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITH",
        "first_name": "JENNY",
        "middle_name": "KY",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reza H Tirgari, MD
• Katherine Rose Tirkel, LCSW
• Madelyn Tirona
• Annamarie Tirsbier, RN, PHN
• Parvathi Tiruviluamala, MD
• Tevy Tith, M.D.
• Ifetayo Titilola Kumasi-Ka
• Madison Titone, PHD
• Sierra Shawn Titone, M.S. CCC-SLP
• Viktoriya Titova

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.