Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB GLEASON, PT
ActivePhysical Therapy Assistant · SAN JUAN CAPISTRANO, CA
Registration Details
- NPI Number
- 1972501732
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2005 (20.771863637876 yrs)
- Last Updated
- Oct 20, 2008
- License
-
PT29291 (CA)
Practice Information
- Address
-
31461 RANCHO VIEJO RD#101SAN JUAN CAPISTRANO, CA, 926751864Browse CA providers · Browse ZIP 92675
- Phone
- 9495425000
- Fax
- 9494192650
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAN JUAN CAPISTRANO, CA
| Name | Credential | NPI |
|---|---|---|
| LYNN WATKINS | PT | 1235137175 |
| PATRICK JOHN PRITZL | PT | 1215953260 |
| MARIA THERESA BAYLON | RPT | 1801800859 |
| MRS. KIRSTIN LEIGH MOTTE | MPT MASTERS OF PHYSI | 1427132828 |
| MRS. HAYLEY SUE SEDELL | PT | 1316021710 |
| ANTHONY THOMAS BRAIG | PT | 1760681076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.