Individual provider Active NPI

Jennifer Elizabeth Gearhart, PT

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1922316173
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36923 Issued in CA
Practice address
14148 Magnolia Blvd Ste 105
Sherman Oaks, CA 91423-6415
Phone
(818) 784-3838
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36923 CA Primary

Addresses

Primary practice location

14148 Magnolia Blvd Ste 105
Sherman Oaks, CA 91423-6415

Mailing address

14148 Magnolia Blvd Ste 105
Sherman Oaks, CA 91423-6415
Phone (818) 784-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000656 CA Practitioner - Physical Therapist in Private Practice 9739360231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians

Practice addresses (Care Compare)

721 W Channel Islands Blvd
Port Hueneme, CA 93041-2130
Phone (805) 250-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36923CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jun 9, 2015 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jun 9, 2015 Accepting new patients
Second Wave Physical Therapy Inc. Physical Therapist CurrentSince May 13, 2024 Accepting new patients

Locations

552 Sespe Ave
Fillmore, CA 93015
Phone (805) 242-4575

735 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

721 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

801 S Victoria Ave
Ventura, CA 93003
Phone (805) 250-7505

Organizations & group practices 3

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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1922316173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14148 MAGNOLIA BLVD STE 105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236415",
            "telephone_number": "818-784-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14148 MAGNOLIA BLVD STE 105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236415",
            "telephone_number": "818-784-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.