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

Jacob T Ogden

Individual provider Physical Therapist · NPI 1891525093

Jacob T Ogden is a Physical Therapist in Private Practice in Mission Viejo, California. Qualified in 2024, 2 years ago. Practices with Proactive Physical Therapy and Sports Medicine Inc, a 51-clinician group. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

26522 La Alameda Ste 100
Mission Viejo, CA 92691-8579
Phone: (949) 582-2555
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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 306476 (CA)

Record details

NPI number1891525093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2024
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024

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 Proactive Physical Therapy And Sports Medicine Inc — 51 clinicians
Accepts Medicare assignment Not indicated

Other providers in Mission Viejo