Individual provider Active NPI

Jaleel Dmeiri, DPT

  • Physical Therapist
  • Fairfield, CA
National Provider Identifier
1992500896
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
222 Acacia St
Fairfield, CA 94533-3800
Phone
(707) 928-7174
NPI assigned
Feb 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 Primary

Addresses

Primary practice location

222 Acacia St
Fairfield, CA 94533-3800

Mailing address

PO Box 1072
Franklin, TN 37065-1072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304002071 CA Practitioner - Physical Therapist in Private Practice 4688195852 Reassigns benefits to 2 organizations
Practice locations: Fairfield, CA; Vacaville, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body in Balance Physical Therapy IncGroup PAC ID 6608857909, 8 clinicians
Burger Physical Therapy Services IncGroup PAC ID 8921019746, 37 clinicians

Practice addresses (Care Compare)

1009 Alamo Dr
Vacaville, CA 95687-5603
Phone (707) 365-0367

1100 Main St
Suite 190
Woodland, CA 95695-3515
Phone (530) 662-2835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Balance Physical Therapy, Inc. Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients

Locations

222 Acacia St
Fairfield, CA 94533
Phone (707) 421-0418

1009 Alamo Dr
Vacaville, CA 95687
Phone (707) 689-5025

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1992500896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1072",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370651072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ACACIA ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333800",
            "telephone_number": "707-928-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DMEIRI",
        "first_name": "JALEEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.