Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gabrielle C Etchegaray Jackson, DPT

Individual provider Physical Therapist · NPI 1760265565

Gabrielle C Etchegaray Jackson, DPT is a Physical Therapist in Private Practice in Anaheim, California. Qualified in 2023, 3 years ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

505 N Euclid St Ste 680
Anaheim, CA 92801-5509
Phone: (714) 780-0010
Fax: (714) 912-8640
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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 304655 (CA)

Record details

NPI number1760265565
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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