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

Maile Bay Jaques, PT

Individual provider Physical Therapist · NPI 1609107911

Maile Bay Jaques, PT is a Physical Therapist in Private Practice in San Pedro, California. Graduated from University of South Carolina School of Medicine in 2009, 17 years ago. Practices with Physical Therapy San Pedro Corp, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
University of South Carolina School of Medicine
Licensed in
CA
In the registry since
2010
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

481 W 6th St
San Pedro, CA 90731-2631
Phone: (424) 536-3023
Fax: (310) 536-3093
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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 PT35890 (CA)

Record details

NPI number1609107911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 26, 2010
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address481 W 6th St, San Pedro, CA 90731-2631

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Physical Therapy San Pedro Corp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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