JACOB HIGGINS DPT
NPI 1992572473
Physical Therapist in Downey, CA

Active since December 05, 2023Accepts Medicare Assignment
12555 LAKEWOOD BLVD, DOWNEY, CA 90242(562) 923-4704 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Higgins Dpt NPPES

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

JACOB HIGGINS DPT (NPI 1992572473) is an individual physical therapist in Downey, California, licensed in California (305278) and active in the NPI registry since December 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1992572473
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACOB HIGGINSCredential: DPT
Location Address12555 LAKEWOOD BLVDDowney, CA 90242-2771
Mailing Address904 Melaleuca Ave Apt ICarlsbad, CA 92011-3825 · (714) 264-3923
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1992572473 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 · 305278
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.
12555 LAKEWOOD BLVD, Downey, CA 90242

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

Jacob Higgins 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.

PECOS PAC ID6608219928
PECOS Enrollment IDI20240202003622

Medicare Billing Reassignment

Medicare enrollment records show Jacob Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
403 W 5TH AVE, SUITE C
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 15 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 5

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
170 services31 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
74 services21 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
68 services17 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
56 services16 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90242 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 9

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

Physical Therapy Assistant
12555 LAKEWOOD BLVD
DOWNEY, CA 90242
Physical Therapist
12555 LAKEWOOD BLVD
DOWNEY, CA 90242
Occupational Therapist
12555 LAKEWOOD BLVD
DOWNEY, CA 90242
Physical Therapy Assistant
12555 LAKEWOOD BLVD
DOWNEY, CA 90242
Physical Therapist
12555 LAKEWOOD BLVD, SUITE D
DOWNEY, CA 90242
Clinic/Center (Physical Therapy)
12555 LAKEWOOD BLVD, SUITE D
DOWNEY, CA 90242
Occupational Therapist
12555 LAKEWOOD BLVD, SUITE D
DOWNEY, CA 90242
Physical Therapist
12555 LAKEWOOD BLVD, SUITE D
DOWNEY, CA 90242

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 Higgins's NPI number?

The NPI number for Jacob Higgins is 1992572473. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Jacob Higgins located?

Jacob Higgins practices at 12555 Lakewood Blvd, Downey, CA 90242. The listed phone number is (562) 923-4704.

What is Jacob Higgins's specialty?

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

Is Jacob Higgins enrolled in Medicare?

Yes. Jacob Higgins 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 Jacob Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Higgins reassigns Medicare benefits to Home Physical Therapy Providers & Wellness Inc. (Escondido, 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 Jacob Higgins'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 Jacob Higgins was last updated on December 5, 2023. 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.