MR. JACK DABBERT P.T.
NPI 1467657353
Physical Therapist - Orthopedic in El Cajon, CA
About Mr. Jack Dabbert P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACK DABBERT P.T. (NPI 1467657353) is an individual orthopedic provider in El Cajon, California, licensed in California (PT9021) and active in the NPI registry since June 2007. He is a graduate of Other (1979).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Jack Dabbert P.t. 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 Jack Dabbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL CAJON, CA 92020
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 Dabbert's NPI number?
The NPI number for Jack Dabbert is 1467657353. It was assigned to this individual provider in the NPPES registry on June 19, 2007.
Where is Jack Dabbert located?
Jack Dabbert practices at 250 Travelodge Dr, El Cajon, CA 92020. The listed phone number is (619) 441-3112.
What is Jack Dabbert's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Jack Dabbert enrolled in Medicare?
Yes. Jack Dabbert 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 Jack Dabbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Dabbert reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Jack Dabbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Dabbert was last updated on November 29, 2021. 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.
# Mr. Jack Dabbert, P.T. · NPI 1467657353
Orthopedic provider in El Cajon, California. Individual provider, active in the CMS NPPES registry since June 19, 2007.
## Identity
- **NPI:** 1467657353 (Entity type: Individual)
- **Enumerated:** June 19, 2007
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** PT9021 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 TRAVELODGE DR, El Cajon, CA 92020-4126
- **Phone:** (619) 441-3112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1979
## Record status
- **NPPES last updated:** November 29, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1467657353) · Data from the CMS NPPES public registry.