KIMBERLY TJANTRA
NPI 1518843291
Physical Therapist in San Diego, CA

Active since August 15, 2025Accepts Medicare Assignment
910 GRAND AVE STE 109, SAN DIEGO, CA 92109(858) 283-8141 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1518843291
Entity TypeIndividual
Primary Taxonomy225100000X
Provider Legal NameKIMBERLY TJANTRA
Location Address910 GRAND AVE STE 109San Diego, CA 92109-4047
Mailing Address910 Grand Ave Ste 109San Diego, CA 92109-4047
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
NPI 1518843291 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 · 308637
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.
910 GRAND AVE STE 109, San Diego, CA 92109

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

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.

PECOS PAC ID3173029311
PECOS Enrollment IDI20251006001542

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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

Physical Therapist
910 GRAND AVE STE 109
SAN DIEGO, CA 92109
Physical Therapist
910 GRAND AVE STE 109
SAN DIEGO, CA 92109
Physical Therapist
910 GRAND AVE STE 109
SAN DIEGO, CA 92109

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.

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 11 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.