NKESE JAPHIA JACK DPT
NPI 1235024647
Physical Therapist in Lakewood, CA

Active since June 09, 2025Accepts Medicare Assignment
3300 E SOUTH ST STE 203, LAKEWOOD, CA 90805(526) 512-3320 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nkese Japhia Jack Dpt NPPES

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

NKESE JAPHIA JACK DPT (NPI 1235024647) is an individual physical therapist in Lakewood, California and active in the NPI registry since June 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1235024647
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNKESE JAPHIA JACKCredential: DPT
Location Address3300 E SOUTH ST STE 203Lakewood, CA 90805-4589
Mailing Address18225 Kingsdale Ave Apt 216Redondo Beach, CA 90278-4663 · (224) 292-9671
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1235024647 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
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.
3300 E SOUTH ST STE 203, Lakewood, CA 90805

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

Nkese Japhia Jack 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 ID1557874476
PECOS Enrollment IDI20250702002299

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Physical Therapy)
3300 E SOUTH ST STE 203
LAKEWOOD, CA 90805
Occupational Therapist
3300 E SOUTH ST STE 203
LAKEWOOD, CA 90805
Physical Therapy Assistant
3300 E SOUTH ST STE 203
LAKEWOOD, CA 90805
Physical Therapist
3300 E SOUTH ST STE 203
LAKEWOOD, CA 90805
Physical Therapist
3300 E SOUTH ST STE 203
LAKEWOOD, CA 90805
Physical Therapy Assistant
3300 E SOUTH ST STE 203
LAKEWOOD, CA 90805

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 Nkese Jack's NPI number?

The NPI number for Nkese Jack is 1235024647. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Nkese Jack located?

Nkese Jack practices at 3300 E South St Ste 203, Lakewood, CA 90805. The listed phone number is (526) 512-3320.

What is Nkese Jack's specialty?

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

Is Nkese Jack enrolled in Medicare?

Yes. Nkese Jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nkese Jack was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.