Active NPI
Jessica Lauren Alvarado-Constantino, DPT
- Physical Therapist
- Alameda, CA
National Provider Identifier
1912620394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302471
- Practice address
- 1083 Peach St
Alameda, CA 94501-5524 - Phone
- (510) 393-4199
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 302471 | CA | Primary |
Addresses
Primary practice location
1083 Peach St
Alameda, CA 94501-5524
Mailing address
1083 Peach St
Alameda, CA 94501-5524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302471 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
Other names 1
- Jessica Lauren Alvarado
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302471 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1912620394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 PEACH ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945015524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 PEACH ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945015524",
"telephone_number": "510-393-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO-CONSTANTINO",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "302471",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "ALVARADO",
"middle_name": "LAUREN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.