THUY DUONG LY JACOBSON DPT
NPI 1114522596
Physical Therapist in Stevenson Ranch, CA
About Thuy Duong Ly Jacobson Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THUY DUONG LY JACOBSON DPT (NPI 1114522596) is an individual physical therapist in Stevenson Ranch, California, licensed in California (299603) and active in the NPI registry since December 2020. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
- 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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Thuy Duong Ly Jacobson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Thuy Duong Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98118
- Reassigned Medicare billing, Washington enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91381 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STEVENSON RANCH, CA 91381
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 Thuy Duong Jacobson's NPI number?
The NPI number for Thuy Duong Jacobson is 1114522596. It was assigned to this individual provider in the NPPES registry on December 2, 2020.
Where is Thuy Duong Jacobson located?
Thuy Duong Jacobson practices at 25129 The Old Rd Ste 100, Stevenson Ranch, CA 91381. The listed phone number is (661) 284-1984.
What is Thuy Duong Jacobson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Thuy Duong Jacobson enrolled in Medicare?
Yes. Thuy Duong Jacobson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Thuy Duong Jacobson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thuy Duong Jacobson reassigns Medicare benefits to Back To Work Prevention & Physical Therapy, Inc. (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thuy Duong Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thuy Duong Jacobson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thuy Duong Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thuy Duong Jacobson was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Thuy Duong Ly Jacobson, DPT · NPI 1114522596
Physical Therapist provider in Stevenson Ranch, California. Individual provider, active in the CMS NPPES registry since December 2, 2020.
## Identity
- **NPI:** 1114522596 (Entity type: Individual)
- **Enumerated:** December 2, 2020
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 299603 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25129 THE OLD RD STE 100, Stevenson Ranch, CA 91381-2281
- **Phone:** (661) 284-1984 · **Fax:** (661) 284-1991
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Back To Work Prevention & Physical Therapy, Inc. (NPI 1730491259, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114522596) · Data from the CMS NPPES public registry.