Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dajeong Nam, DPT

Individual provider Physical Therapist · NPI 1366040008

Dajeong Nam, DPT is a Physical Therapist in Private Practice in Fontana, California. Qualified in 2019, 7 years ago. Practices with Prime Rehab Center Physical Therapy a Professional Corporation, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8545 Sierra Ave
Fontana, CA 92335-3868
Phone: (909) 365-3557
Fax: (909) 658-8987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT299273 (CA)

Record details

NPI number1366040008
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 14, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prime Rehab Center Physical Therapy A Professional Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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