JEFFERSON DAVID
NPI 1699346957
Physical Therapist in Santa Rosa, CA

Q: 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.

Q: What is Jefferson David's specialty?

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

Q: 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.

Active since July 08, 2021Accepts Medicare Assignment

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: August 09, 2026.

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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 and is a graduate of Other (2007).

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

Phone(707) 359-5005

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

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

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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

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

Jefferson David 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 ID5395140404

PECOS Enrollment IDI20220630000422

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 14

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

MOLLY HALL OTR

Specialist