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

Individual provider Geriatric Physical Therapist · NPI 1881131118

Jimmy Phan, PT, DPT is a Geriatric Physical Therapist in Laguna Hills, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

24422 Avenida De La Carlota Ste 190
Laguna Hills, CA 92653-3634
Phone: (949) 340-6927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10282 Park Ave Apt B, Garden Grove, CA 92840-6369 — (714) 251-4810
  • 68 Willow Rd, Menlo Park, CA 94025-3653 — (866) 839-6979

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT293952 (CA)

Record details

NPI number1881131118
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 25, 2017
Last updated in NPPESAugust 5, 2019

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