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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1033699541

Jake Fellow, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2018, 8 years ago. Practices with Asis Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
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

11848 Bernardo Plaza Ct Ste 100
San Diego, CA 92128-2417
Phone: (858) 217-2496
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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 PT295188 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT295188 (CA)

Record details

NPI number1033699541
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESAugust 15, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Asis Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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