Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA KAIXIN WANG PT, DPT
NPI 1205742111
Physical Therapist in Danville, CA

Active since August 20, 2026
917 SAN RAMON VALLEY BLVD STE 190, DANVILLE, CA 94526(925) 552-5787 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Kaixin Wang Pt, Dpt NPPES

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

JESSICA KAIXIN WANG PT, DPT (NPI 1205742111) is an individual physical therapist in Danville, California, licensed in California (310636) and active in the NPI registry since August 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1205742111
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJESSICA KAIXIN WANGCredential: PT, DPT
Location Address917 SAN RAMON VALLEY BLVD STE 190Danville, CA 94526-4032
Mailing Address5306 Crestfield DrSan Ramon, CA 94582-5364 · (510) 918-1090
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1205742111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 310636
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
917 SAN RAMON VALLEY BLVD STE 190, Danville, CA 94526

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Kaixin Wang Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214497791
PECOS Enrollment IDI20260903002522

Medicare Billing Reassignment

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

Orthopedic
917 SAN RAMON VALLEY BLVD STE 190
Danville, CA 94526
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group

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 4

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

Physical Therapist (Orthopedic)
917 SAN RAMON VALLEY BLVD STE 190
DANVILLE, CA 94526
Obstetrics & Gynecology
917 SAN RAMON VALLEY BLVD STE 190
DANVILLE, CA 94526
Physical Therapist
917 SAN RAMON VALLEY BLVD STE 190
DANVILLE, CA 94526
Physical Therapy Assistant
917 SAN RAMON VALLEY BLVD STE 190
DANVILLE, CA 94526

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 Jessica Wang's NPI number?

The NPI number for Jessica Wang is 1205742111. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Jessica Wang located?

Jessica Wang practices at 917 San Ramon Valley Blvd Ste 190, Danville, CA 94526. The listed phone number is (925) 552-5787.

What is Jessica Wang's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jessica Wang enrolled in Medicare?

Yes. Jessica Wang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wang reassigns Medicare benefits to San Ramon Valley Physical Therapy Inc. (Danville, 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 Jessica Wang'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 Jessica Wang was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.