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

Jordan Renee Bomba, PT

Individual provider Physical Therapist · NPI 1356050090

Jordan Renee Bomba, PT is a Physical Therapist in Private Practice in Lafayette, California. Qualified in 2022, 4 years ago. Practices with Sports and Orthopedic Leaders Physical Therapy Inc, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3658 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-6883
Phone: (925) 284-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 380 Civic Dr Ste 100, Pleasant Hill, CA 94523-1946 — (925) 284-3840

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 303128 (CA)

Record details

NPI number1356050090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sports And Orthopedic Leaders Physical Therapy Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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