MEDICARE: JESSICA SHARON MEDROS PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	291819	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	291819	OTHER	CA	CALIFORNIA PHYSICAL THERAPY LICENSE

General Provider Information

NPI Number	:	1891240172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SHARON MEDROS PT, DPT

Provider Business Mailing Address
First Line	:	750 WARFIELD AVE # 303.5
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-2761
Country	:	US
Telephone Number	:	510-501-2880
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 WARFIELD AVE # 303.5
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-2761
Country	:	US
Telephone Number	:	510-501-2880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2016
Last Update Date	:	09/04/2019

Similar Medicare Providers

1245236546 — DR. PANAYOTIS PAPATZIMAS DDS
Practice Location Address:

830 E OAKLAND PARK BLVD , SUITE # 103
OAKLAND PARK, FL
33334-2761

Practice Phone: 954-568-7709
Practice Fax: 954-568-7749

1356454847 — DR. ALBERTO QUINTIN DESPAIGNE DDS
Practice Location Address:

830 E OAKLAND PARK BLVD
OAKLAND PARK, FL
33334-2761

Practice Phone: 954-262-7530
Practice Fax: 954-568-7749

1447309232 — GEORGE KOLOS D.M.D.
Practice Location Address:

830 E OAKLAND PARK BLVD
OAKLAND PARK, FL
33334-2761

Practice Phone: 954-262-7530
Practice Fax: 954-262-7529

1548383185 — CARLOS ORTIZ CM
Practice Location Address:

830 E OAKLAND PARK BLVD , SUITE 121
OAKLAND PARK, FL
33334-2761

Practice Phone: 954-567-7141
Practice Fax: 954-703-2029

1548410947 — NOVA SOUTHEASTERN UNIVERSITY, INC
Practice Location Address:

830 E OAKLAND PARK BLVD
OAKLAND PARK, FL
33334-2761

Practice Phone: 954-262-7530
Practice Fax: 954-568-7749

1013376144 — JUAN VELASCO
Practice Location Address:

830 E OAKLAND PARK BLVD
OAKLAND PARK, FL
33334-2761

Practice Phone: 954-262-7530
Practice Fax:

Directions to “ JESSICA SHARON MEDROS PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.