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

Jackie Lau

Individual provider Physical Therapist · NPI 1942063896

Jackie Lau is a Physical Therapist in Private Practice in Plymouth, Michigan. Qualified in 2023, 3 years ago. Practices with Oregon Luna Care Physical Therapy LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2024
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Practice location Address checks out

801 W Ann Arbor Trl Ste 220
Plymouth, MI 48170-6224
Phone: (866) 991-0900
Fax: (866) 992-0900
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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 65082 (OR)

Record details

NPI number1942063896
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

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 Oregon Luna Care Physical Therapy Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth