JACK PRINCE
NPI 1376358671
Physical Therapist in Cupertino, CA

Active since February 12, 2025Accepts Medicare Assignment
20823 STEVENS CREEK BLVD STE 200, CUPERTINO, CA 95014(408) 252-6076 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Prince NPPES

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

JACK PRINCE (NPI 1376358671) is an individual physical therapist in Cupertino, California, licensed in California (307349) and active in the NPI registry since February 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1376358671
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACK PRINCE
Location Address20823 STEVENS CREEK BLVD STE 200Cupertino, CA 95014-2112
Mailing Address20823 Stevens Creek Blvd Ste 200Cupertino, CA 95014-2112 · (408) 252-6076
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
NPI 1376358671 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 · 307349
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.
20823 STEVENS CREEK BLVD STE 200, Cupertino, CA 95014

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jack Prince 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.

PECOS PAC ID3476073214
PECOS Enrollment IDI20250224000908

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist (Orthopedic)
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
Physical Therapist
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
Physical Therapist
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
Physical Therapist
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
Physical Therapist
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
Clinic/Center (Physical Therapy)
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
Physical Therapist
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014
Physical Therapist (Orthopedic)
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014

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 Jack Prince's NPI number?

The NPI number for Jack Prince is 1376358671. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Jack Prince located?

Jack Prince practices at 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014. The listed phone number is (408) 252-6076.

What is Jack Prince's specialty?

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

Is Jack Prince enrolled in Medicare?

Yes. Jack Prince 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.

When was this NPI record last updated?

The NPPES record for Jack Prince was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.