Jacob Fredrickson, DPT - Physical Therapist in Antioch, CA

Jacob Fredrickson, DPT is a Physical Therapist based in Antioch, California. Jacob Fredrickson is licensed to practice in California (license number PT295900) and his current practice location is 4501 Sand Creek Rd, Antioch, California. He can be reached at his office (for appointments etc.) via phone at (925) 813-6500.

NPI number for Jacob Fredrickson is 1033670104 and his current mailing address is 4691 Briones Valley Rd, Brentwood, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033670104.

Contact Information

Jacob Fredrickson, DPT
4501 Sand Creek Rd,
Antioch, CA 94531-8687
(925) 813-6500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacob Fredrickson
GenderMale
SpecialityPhysical Therapist
Location4501 Sand Creek Rd, Antioch, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033670104
  • Provider Enumeration Date: 03/29/2019
  • Last Update Date: 01/03/2022

Medical Identifiers

Medical identifiers for Jacob Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033670104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT295900 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Fredrickson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Fredrickson, DPT
4691 Briones Valley Rd,
Brentwood, CA 94513-4917

Ph: (925) 470-6444
Jacob Fredrickson, DPT
4501 Sand Creek Rd,
Antioch, CA 94531-8687

Ph: (925) 813-6500

Reviews and Comments


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Phone: 844-502-7996    
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Medicare: Not Enrolled in Medicare
Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509
Phone: 925-779-5156    Fax: 925-779-5296

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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