JESSE GANDT – Physical Therapist, NPI 1043032360

JESSE GANDT is a healthcare provider. based in Riverside, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for JESSE GANDT is 1043032360

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSE GANDT
NPI
1043032360
Phone
(951) 653-4480
Address
6177 RIVER CREST DR.
Enumeration Date
28 October 2024
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9516534480
Graduation Year
2024 (2 years ago)
PAC ID
3870027980
Group Practice PAC ID
7214824648
Professional Enrollment ID
I20241112003819
Address ID
CA925070728RI6177XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for JESSE GANDT

  • 6177 RIVER CREST DR.

    #A

    RIVERSIDE, CA 92507

    Phone: (951) 653-4480

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241112003819IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92507)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214824648View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Qualified Speech Language PathologistCA
Physical Therapist In Private PracticeCA
-NM
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify JESSE GANDT for billing?
Administrative and clinical systems typically use NPI 1043032360 for JESSE GANDT.
Should I treat JESSE GANDT as an active provider?
Patients and plans typically see JESSE GANDT as active in the national extract.
What type of care does JESSE GANDT provide?
JESSE GANDT's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JESSE GANDT tied to Riverside, California?
If you are local to Riverside, California, JESSE GANDT may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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