Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jefferson David

Individual provider Physical Therapist · NPI 1699346957

Jefferson David is a Physical Therapist in Santa Rosa, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720
Phone: (707) 359-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 725 Grove St, Healdsburg, CA 95448-4756 — (707) 433-4877
  • 34 Randall Ln Unit B, Santa Rosa, CA 95409-4117 — (415) 684-3423

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 295052 (CA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1699346957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

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