JACOB FREDRICKSON DPT
NPI 1033670104
Physical Therapist in Antioch, CA

Active since March 29, 2019
4501 SAND CREEK RD, ANTIOCH, CA 94531(925) 813-6500 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Fredrickson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB FREDRICKSON DPT (NPI 1033670104) is an individual physical therapist in Antioch, California, licensed in California (PT295900) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1033670104
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACOB FREDRICKSONCredential: DPT
Location Address4501 SAND CREEK RDAntioch, CA 94531-8687
Mailing Address4691 Briones Valley RdBrentwood, CA 94513-4917 · (925) 470-6444
Sole ProprietorNo
Enumeration DateMarch 29, 2019
Last NPPES UpdateJanuary 3, 2022
NPI 1033670104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · PT295900
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4501 SAND CREEK RD, Antioch, CA 94531

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4501 SAND CREEK RD
ANTIOCH, CA 94531
Internal Medicine
4501 SAND CREEK RD
ANTIOCH, CA 94531
Physician Assistant
4501 SAND CREEK RD
ANTIOCH, CA 94531
Hospitalist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Pharmacist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Pharmacist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Respiratory Therapist, Registered
4501 SAND CREEK RD
ANTIOCH, CA 94531
Respiratory Therapist, Certified
4501 SAND CREEK RD
ANTIOCH, CA 94531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Fredrickson's NPI number?

The NPI number for Jacob Fredrickson is 1033670104. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Jacob Fredrickson located?

Jacob Fredrickson practices at 4501 Sand Creek Rd, Antioch, CA 94531. The listed phone number is (925) 813-6500.

What is Jacob Fredrickson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jacob Fredrickson was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.