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

Jacob Fredrickson, DPT

Individual provider Physical Therapist · NPI 1033670104

Jacob Fredrickson, DPT is a Physical Therapist in Antioch, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone: (925) 813-6500
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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 PT295900 (CA)

Record details

NPI number1033670104
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESJanuary 3, 2022
Mailing address4691 Briones Valley Rd, Brentwood, CA 94513-4917

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