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

Jack Chen, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1669562351

Jack Chen, PT, DPT, CSCS is a Physical Therapist in Private Practice in Fountain Valley, California. Graduated from Saint Louis University School of Medicine in 2004, 22 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17050 Bushard St Ste 350
Fountain Valley, CA 92708-2832
Phone: (714) 968-1316
Fax: (714) 964-9787
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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 PT29842A (CA)

Record details

NPI number1669562351
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 24, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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