KIM JESPERSEN (PT) – Physical Therapist, NPI 1508224353

KIM JESPERSEN (PT) is a healthcare provider. based in Menlo park, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 27809 (CA). The NPI Number for KIM JESPERSEN (PT) is 1508224353

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
KIM JESPERSEN (PT)
NPI
1508224353
Phone
(877) 390-6659
Address
68 Willow Rd
Enumeration Date
8 February 2016
Last Update Date
2 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9258558343
Graduation Year
1999 (27 years ago)
PAC ID
1850281858
Group Practice PAC ID
2163317025
Professional Enrollment ID
I20040315001644
Address ID
CA945263409DA315XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for KIM JESPERSEN (PT)

  • 68 Willow Rd

    Menlo Park, CA 940253653

    Phone: (877) 390-6659

    Type: Location

  • 760, San Ramon Valley Boulevard, Danville, Contra Costa County, California, 94526, United States

    SUITE 100

    DANVILLE, CA 945264056

    Phone: (925) 743-8905

    Type: Location

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: 2004-03-15

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
I20040315001644IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,229103$0
97530Therapy procedure using functional activities1,13177$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care85682$0
97140Therapy procedure using manual technique, each 15 minutes82173$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15416$0
View full utilization report →

Insurance plans in this area (ZIP 94025)

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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: 2163317025View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeCA
-NY
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What NPI should I save for KIM JESPERSEN (PT)?
Save NPI 1508224353 if you need a stable reference for KIM JESPERSEN (PT).
Does this profile mean KIM JESPERSEN (PT) is currently active?
Yes — KIM JESPERSEN (PT) appears active in the national provider directory.
What kind of provider is KIM JESPERSEN (PT)?
The page reflects Physical Therapist for KIM JESPERSEN (PT). Clinical services aligned with this taxonomy classification.
Where is KIM JESPERSEN (PT)'s primary listing?
We display Menlo Park, California because that is what the record indicates for KIM JESPERSEN (PT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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