Individual provider Active NPI

Jacob Higgins, DPT

  • Physical Therapist
  • Downey, CA
National Provider Identifier
1992572473
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305278 Issued in CA
Practice address
12555 Lakewood Blvd
Downey, CA 90242-2771
Phone
(562) 923-4704
NPI assigned
Dec 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305278 CA Primary

Addresses

Primary practice location

12555 Lakewood Blvd
Downey, CA 90242-2771

Mailing address

904 Melaleuca Ave Apt I
Carlsbad, CA 92011-3825
Phone (714) 264-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Physical Therapy Providers and Wellness IncGroup PAC ID 4789989955, 12 clinicians

Practice addresses (Care Compare)

403 W 5TH Ave
Suite C
Escondido, CA 92025-4851
Phone (760) 536-2377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Physical Therapy Providers & Wellness Inc. Physical Therapist CurrentSince Jun 8, 2026 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Dec 23, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Orthopedic Associates of Hartford,PC Current Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Jul 29, 2024 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Jul 29, 2024 Accepting new patients
California Rehab & Sports Therapy CurrentSince Dec 23, 2023 Accepting new patients

Locations

12555 Lakewood Blvd
Ste D
Downey, CA 90242
Phone (562) 777-1333

403 W 5th Ave
Ste C
Escondido, CA 92025
Phone (760) 536-2377

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

150 Enterprise Dr
Rocky Hill, CT 06067
Phone (860) 244-8857

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1992572473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MELALEUCA AVE APT I",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113825",
            "telephone_number": "714-264-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422771",
            "telephone_number": "562-923-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.