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

Jacob Hendricks

Individual provider Physical Therapist · NPI 1174983357

Jacob Hendricks is a Physical Therapist in Irvine, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

224 Grand Canal
Irvine, CA 92620-1884
Phone: (612) 867-4218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Willow Rd, Menlo Park, CA 94025-3653 — (866) 839-6979

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 43287 (CA)

Record details

NPI number1174983357
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2016
Last updated in NPPESNovember 29, 2021

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