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

Kimberly Tjantra

Individual provider Physical Therapist · NPI 1518843291

Kimberly Tjantra is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2025, 1 year ago. Practices with Proresults Physical Therapy Inc, a 30-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

910 Grand Ave Ste 109
San Diego, CA 92109-4047
Phone: (858) 283-8141
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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 308637 (CA)

Record details

NPI number1518843291
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Proresults Physical Therapy Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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