NPIMap

Organization Active NPI

Kim Jespersen

  • Physical Therapy Clinic/Center
  • Danville, CA
National Provider Identifier
1922465871
Registry record updated Jan 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
27809 Issued in CA
Legal business name
KIM JESPERSEN
Practice address
403 Jensen CT
Danville, CA 94526-4328
Phone
(925) 768-9020
NPI assigned
Jan 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2016

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

Authorized official

Name
Kim Jespersen, PT
Title
Physical Therapist
Phone
(925) 768-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 27809 CA Primary

Addresses

Primary practice location

403 Jensen CT
Danville, CA 94526-4328

Mailing address

403 Jensen CT
Danville, CA 94526-4328
Phone (925) 768-9020

Other names 1

  • Kim Jespersen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1922465871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 JENSEN CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264328",
            "telephone_number": "925-768-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 JENSEN CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264328",
            "telephone_number": "925-768-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM JESPERSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "JESPERSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "925-768-9020",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "27809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim Jespersen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.