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

Jessica Lorraine Van Soest

Individual provider Physical Therapist · NPI 1760992531

Jessica Lorraine Van Soest is a Physical Therapist in Private Practice in San Leandro, California. Qualified in 2015, 11 years ago. Practices with Renew Physical Therapy PC, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

2450 Washington Ave
San Leandro, CA 94577-5996
Phone: (510) 577-0777
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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 293825 (CA)

Record details

NPI number1760992531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Renew Physical Therapy Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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