Jake Fellow
Physical Therapist Physical Medicine & Rehabilitation Doctor
11848 Bernardo Plaza Ct Ste 100
San Diego
, California 92128-2417
Jake Fellow
Physical Therapist Physical Medicine & Rehabilitation Doctor
11848 Bernardo Plaza Ct Ste 100
San Diego
, California 92128-2417
(909) 260-7739
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Physical Therapist
Languages spoken
- English
Location
First Address
- Jake Fellow
- 16631 Orchard Bend Rd
- Poway, CA
- Zip : 92064-1713
- Phone : (909) 260-7739
Second Address
- Jake Fellow
- 11848 Bernardo Plaza Ct Ste 100
- San Diego, CA
- Zip : 92128-2417
- Phone : (858) 217-2496
Reviews
FAQs
Where did Jake Fellow attend graduate school?
Where did Jake Fellow do his residency?
Where did Jake Fellow do his fellowship?
Is Jake Fellow board certified?
What type of doctor is Jake Fellow
In what state does Jake Fellow practice in?
Where is Jake Fellow ’s practice located?
What is Jake Fellow ’s gender?
Is Jake Fellow a sole practitioner?
Is Jake Fellow accepting new patients?
What languages does Jake Fellow speak?
Does Jake Fellow accept insurance?
Does Jake Fellow offers telemedicine?
What is Jake Fellow ’s professional license number?
What is Jake Fellow ’s NPI number?
Does Jake Fellow have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | PT295188 | CA |
| Y | 225100000X | Physical Therapist | PT295188 | CA |
National Provider Identifier
| NPI | 1033699541 |
|---|---|
| Provider Name | Jake Fellow |
| First Address | Poway, CA 92064-1713 |
| Second Address | San Diego, CA 92128-2417 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2018 |
| Last Update Date | 15/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 295188 | LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.