KIMBERLY TJANTRA
NPI 1518843291
Physical Therapist in San Diego, CA
About Kimberly Tjantra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY TJANTRA (NPI 1518843291) is an individual physical therapist in San Diego, California, licensed in California (308637) and active in the NPI registry since August 2025. The provider is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Tjantra 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Tjantra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Marcos, CA 92078
- Reassigned Medicare billing, California enrollment
- 50 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Tjantra's NPI number?
The NPI number for Kimberly Tjantra is 1518843291. It was assigned to this individual provider in the NPPES registry on August 15, 2025.
Where is Kimberly Tjantra located?
Kimberly Tjantra practices at 910 Grand Ave Ste 109, San Diego, CA 92109. The listed phone number is (858) 283-8141.
What is Kimberly Tjantra's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kimberly Tjantra enrolled in Medicare?
Yes. Kimberly Tjantra 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.
Which organization bills Medicare for Kimberly Tjantra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tjantra reassigns Medicare benefits to Proresults Physical Therapy Inc. (San Marcos, 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 Kimberly Tjantra'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 Kimberly Tjantra was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.