Jaymeson Bartels Anderson
Individual provider Active NPI Physical Therapist · Bay Point, CA
NPI 1992433577 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1992433577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 302483 (CA)
- Practice address
- 368 Rosebrook Dr
Bay Point, CA 94565-7630 - Phone
- (651) 795-8779
- NPI assigned
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
368 Rosebrook Dr
Bay Point, CA 94565-7630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250910002811 | CA | Practitioner - Physical Therapist in Private Practice | 8729581301 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302483 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabdirect Inc. | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 302483 | CA | Yes |
Addresses
Primary practice location
368 Rosebrook Dr
Bay Point, CA 94565-7630
Mailing address
368 Rosebrook Dr
Bay Point, CA 94565-7630
Phone (651) 795-8779
Other providers in Bay Point, CA
All providers in Bay Point, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.