SAMUEL JARAMILLO DPT
NPI 1629796933
Physical Therapist - Orthopedic in Piedmont, CA

Active since August 22, 2022Accepts Medicare Assignment
460 BOULEVARD WAY STE 2D, PIEDMONT, CA 94610(510) 922-8872 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Jaramillo Dpt NPPES

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

SAMUEL JARAMILLO DPT (NPI 1629796933) is an individual orthopedic provider in Piedmont, California, licensed in Colorado (PTL0018625) and active in the NPI registry since August 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1629796933
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameSAMUEL JARAMILLOCredential: DPT
Location Address460 BOULEVARD WAY STE 2DPiedmont, CA 94610-1563
Mailing Address5002 Grand Lakes Dr SJacksonville, FL 32258-4214 · (904) 238-7831
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
NPI 1629796933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CO · PTL0018625
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
460 BOULEVARD WAY STE 2D, Piedmont, CA 94610

Accepted Insurance

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

Samuel Jaramillo 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 ID4688045677
PECOS Enrollment IDI20230131000760

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.

Physical Therapist
460 BOULEVARD WAY STE 2D
PIEDMONT, CA 94610
Physical Therapist
460 BOULEVARD WAY STE 2D
PIEDMONT, CA 94610
Physical Therapist
460 BOULEVARD WAY STE 2D
PIEDMONT, CA 94610
Physical Therapist
460 BOULEVARD WAY STE 2D
PIEDMONT, CA 94610
Physical Therapist
460 BOULEVARD WAY STE 2D
PIEDMONT, CA 94610
Physical Therapist
460 BOULEVARD WAY STE 2D
PIEDMONT, CA 94610

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 Samuel Jaramillo's NPI number?

The NPI number for Samuel Jaramillo is 1629796933. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Samuel Jaramillo located?

Samuel Jaramillo practices at 460 Boulevard Way Ste 2D, Piedmont, CA 94610. The listed phone number is (510) 922-8872.

What is Samuel Jaramillo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Samuel Jaramillo enrolled in Medicare?

Yes. Samuel Jaramillo 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.

What insurance does Samuel Jaramillo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel Jaramillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Jaramillo was last updated on August 22, 2022. 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.