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

Jacqueline Rae Dagostino, DPT

Individual provider Physical Therapist · NPI 1710457379

Jacqueline Rae Dagostino, DPT is a Physical Therapist in Private Practice in Carson City, Nevada. Qualified in 2012, 14 years ago. Practices with Optimum Therapy Solutions, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
14
Licensed in
CA, NV
In the registry since
2018
Specialties on file
2
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

604 W Washington St Ste B
Carson City, NV 89703-3828
Phone: (775) 882-5001
Fax: (775) 882-5015
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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 6216 (NV)
Physical Therapist Taxonomy 225100000X · Licence PT295756 (CA)

Record details

NPI number1710457379
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 27, 2018
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Optimum Therapy Solutions, L.L.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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