Individual provider Active NPI

Grant Jochem, DPT, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1962972877
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296032 Issued in CA
Practice address
6475 Alvarado Rd Ste 118
San Diego, CA 92120-5007
Phone
(619) 287-4678
Fax
(619) 287-0350
NPI assigned
Dec 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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 296032 CA Primary

Addresses

Primary practice location

6475 Alvarado Rd Ste 118
San Diego, CA 92120-5007

Mailing address

6475 Alvarado Rd Ste 118
San Diego, CA 92120-5007
Phone (619) 287-4678

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
296032CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists, Inc Physical Therapist CurrentSince May 23, 2022 Accepting new patients

Locations

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

Organizations & group practices 1

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1962972877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205007",
            "telephone_number": "619-287-4678",
            "fax_number": "619-287-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205007",
            "telephone_number": "619-287-4678",
            "fax_number": "619-287-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHEM",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.