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

Jack Hartwell, DPT

Individual provider Orthopedic Physical Therapist · NPI 1154121457

Jack Hartwell, DPT is a Physical Therapist in Private Practice in Lake Elsinore, California. Qualified in 2024, 2 years ago. Practices with Fairbanks and Power Physical Therapy Corp, a 54-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

25381 Railroad Canyon Rd Ste 1101
Lake Elsinore, CA 92532-2705
Phone: (951) 244-8404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 307740 (CA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 307740 (CA)

Record details

NPI number1154121457
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 17, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fairbanks And Power Physical Therapy Corp — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount