MAILE BAY JAQUES PT
NPI 1609107911
Physical Therapist in San Pedro, CA
About Maile Bay Jaques Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAILE BAY JAQUES PT (NPI 1609107911) is an individual physical therapist in San Pedro, California, licensed in California (PT35890) and active in the NPI registry since January 2010. She is a graduate of University Of South Carolina School Of Medicine (2009).
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.
Other Names 1
Other Identifiers 1
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
Maile Bay Jaques Pt 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 Maile Bay Jaques reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Pedro, CA 90731
- Reassigned Medicare billing, California enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Maile Bay Jaques's NPI number?
The NPI number for Maile Bay Jaques is 1609107911. It was assigned to this individual provider in the NPPES registry on January 26, 2010. The provider is also known as Maile Bay Pt.
Where is Maile Bay Jaques located?
Maile Bay Jaques practices at 481 W 6th St, San Pedro, CA 90731. The listed phone number is (424) 536-3023.
What is Maile Bay Jaques's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Maile Bay Jaques enrolled in Medicare?
Yes. Maile Bay Jaques 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 Maile Bay Jaques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maile Bay Jaques reassigns Medicare benefits to Physical Therapy San Pedro Corp. (San Pedro, 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 Maile Bay Jaques'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 Maile Bay Jaques was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.