Active NPI
Jassiem Jenkins
- Physical Therapist
- Walnut Creek, CA
National Provider Identifier
1912816026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310897
- Practice address
- 2625 Shadelands Dr
Walnut Creek, CA 94598-2512 - Phone
- (925) 939-8585
- NPI assigned
- Sep 3, 2026
- Sex
- Male
- 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 | 310897 | CA | Primary |
Addresses
Primary practice location
2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Mailing address
131 Ramona Ave
El Cerrito, CA 94530-4142
Phone (949) 836-9614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1912816026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 RAMONA AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945304142",
"telephone_number": "949-836-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-939-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JASSIEM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.