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

Individual provider Physical Therapist · NPI 1174914147

Mr. Jake Wood Putnam Bagley, DPT is a Physical Therapist in San Francisco, California. Works from 2 locations. Licensed in California and Colorado.

Licensed in
CA, CO
In the registry since
2015
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

303 2nd St Ste 115C
San Francisco, CA 94107
Phone: (415) 498-0537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Willow Rd, Menlo Park, CA 94025-3653 — (866) 839-6979

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 292658 (CA)
Physical Therapist Taxonomy 225100000X · Licence 0012518 (CO)

Record details

NPI number1174914147
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 12, 2015
Last updated in NPPESDecember 10, 2020
Certification dateDecember 9, 2020

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