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

Jake Vicera, PT

Individual provider Physical Therapist · NPI 1053683805

Jake Vicera, PT is a Physical Therapist in Folsom, California. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1301 E Bidwell St Ste 201
Folsom, CA 95630-3565
Phone: (916) 983-5915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1053683805
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 8, 2012
Last updated in NPPESFebruary 8, 2012
Mailing address1301 E Bidwell St, Ste. 201, Folsom, CA 95630-3565

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