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JENNIFER CORRALES DPT
NPI 1043994510
Physical Therapist - Neurology in Vallejo, CA

Active since June 14, 2023
975 SERENO DR, VALLEJO, CA 94589(707) 651-1000 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2023, Jun 14, 2023 (2 updates tracked since 2023).

About Jennifer Corrales Dpt NPPES

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

JENNIFER CORRALES DPT (NPI 1043994510) is an individual neurology provider in Vallejo, California, licensed in California (304216) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1043994510
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameJENNIFER CORRALESCredential: DPT
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address1601 Clay StFairfield, CA 94533-3808 · (707) 689-8507
Phone(707) 651-1000
Sole ProprietorNo
Enumeration DateJune 14, 2023
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1043994510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed in CA · 304216
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
975 SERENO DR, Vallejo, CA 94589
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Corrales Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Corrales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
Same address
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Corrales's NPI number?

The NPI number for Jennifer Corrales is 1043994510. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Jennifer Corrales located?

Jennifer Corrales practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-1000.

What is Jennifer Corrales's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Jennifer Corrales enrolled in Medicare?

Yes. Jennifer Corrales is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Corrales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Corrales reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Corrales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Corrales was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.