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

Jacob Donovan Nelson

Individual provider Physical Therapy Assistant · NPI 1437908753

Jacob Donovan Nelson is a Physical Therapy Assistant in Tustin, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

15000 Kensington Park Dr Ste 110
Tustin, CA 92782-1831
Phone: (657) 859-6458
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1437908753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address15000 Kensington Park Dr Ste 110, Tustin, CA 92782-1831

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