JEFFERSON DAVID
NPI 1699346957
Physical Therapist in Santa Rosa, CA

Active since July 08, 2021
300 FOUNTAINGROVE PKWY, SANTA ROSA, CA 95403(707) 359-5005 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jefferson David NPPES

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

JEFFERSON DAVID (NPI 1699346957) is an individual physical therapist in Santa Rosa, California, licensed in California (295052) and active in the NPI registry since July 2021. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699346957
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJEFFERSON DAVID
Location Address300 FOUNTAINGROVE PKWYSanta Rosa, CA 95403-5720
Mailing Address34 Randall Ln Unit BSanta Rosa, CA 95409-4117
Sole ProprietorYes
Enumeration DateJuly 8, 2021
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1699346957 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 · 295052
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.
300 FOUNTAINGROVE PKWY, Santa Rosa, CA 95403

Secondary Practice Locations 2

Location 134 Randall Ln Unit BSanta Rosa, CA 95409-4117 · Phone (415) 684-3423
Location 2725 Grove StHealdsburg, CA 95448-4756 · Phone (707) 433-4877

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson David is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Rehabilitation
2600 COMPASS RD
Glenview, IL 60026
  • Reassigned Medicare billing, Arizona enrollment
  • 49 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
689 services30 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
492 services30 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
427 services34 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
397 services33 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
106 services14 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
28 services26 patients

Other Providers at the Same Location NPPES 14

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

Specialist
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Occupational Therapist
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Skilled Nursing Facility
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Occupational Therapist
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Skilled Nursing Facility
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Skilled Nursing Facility
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Occupational Therapist
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Speech-Language Pathologist
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403

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 Jefferson David's NPI number?

The NPI number for Jefferson David is 1699346957. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Jefferson David located?

Jefferson David practices at 300 Fountaingrove Pkwy, Santa Rosa, CA 95403. The listed phone number is (707) 359-5005.

What is Jefferson David's specialty?

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

Is Jefferson David enrolled in Medicare?

Yes. Jefferson David is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jefferson David's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jefferson David reassigns Medicare benefits to Select Rehabilitation, LLC (Glenview, IL). 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 Jefferson David's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jefferson David accept?

Health plans from Blue Cross Blue Shield of Arizona list Jefferson David 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 Jefferson David was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.