Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica L Super, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1801036819

Jessica L Super, PT, DPT, CSCS is a Physical Therapist in Private Practice in Palm Desert, California. Qualified in 2008, 18 years ago. Practices with Dynamic Physical Therapy and Sports Performance Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

44651 Village Ct Ste 120
Palm Desert, CA 92260-3823
Phone: (760) 501-6655
Fax: (760) 262-3773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT35434 (CA)

Record details

NPI number1801036819
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedMarch 3, 2009
Last updated in NPPESMarch 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Dynamic Physical Therapy And Sports Performance Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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