JESSICA J WU DPT
NPI 1003383514
Physical Therapist - Sports in San Diego, CA

Active since November 01, 2018Accepts Medicare Assignment
5190 GOVERNOR DR STE 107, SAN DIEGO, CA 92122(858) 304-6440 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica J Wu Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA J WU DPT (NPI 1003383514) is an individual sports provider in San Diego, California, licensed in California (304254) and active in the NPI registry since November 2018. She is a graduate of Duke University School Of Medicine (2023).

NPPES Registry Identity

NPI1003383514
Entity TypeIndividualFemale
Primary Taxonomy2251S0007X
Provider Legal NameJESSICA J WUCredential: DPT
Location Address5190 GOVERNOR DR STE 107San Diego, CA 92122-2848
Mailing Address5190 Governor Dr Ste 107San Diego, CA 92122-2848 · (858) 452-0282 · Fax (858) 452-6837
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2023
Enumeration DateNovember 1, 2018
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
NPI 1003383514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License Licensed in CA · 304254
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Also ListedBehavior TechnicianTaxonomy 106S00000X
5190 GOVERNOR DR STE 107, San Diego, CA 92122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica J Wu Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305208745
PECOS Enrollment IDI20230816002501

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
5190 GOVERNOR DR STE 107
SAN DIEGO, CA 92122
Physical Therapist
5190 GOVERNOR DR STE 107
SAN DIEGO, CA 92122
Physical Therapist
5190 GOVERNOR DR STE 107
SAN DIEGO, CA 92122
Physical Therapist
5190 GOVERNOR DR STE 107
SAN DIEGO, CA 92122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003383514, enumerated as an "individual" on November 01, 2018.

The provider is located at 5190 GOVERNOR DR STE 107 SAN DIEGO, CA 92122 and the phone number is (858) 304-6440.

Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.