Maile Bay Jaques, PT
NPI 1609107911ActiveIndividual· Physical Therapist· San Pedro, CA
Physical Therapist (PT) in San Pedro, California, trained at University of South Carolina School of Medicine (class of 2009). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1609107911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jan 26, 2010 |
| Last updated in NPPES | Feb 23, 2024 |
| Certified by provider | Feb 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT35890 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Medical school | University of South Carolina School of Medicine |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Physical Therapy San Pedro CorpSan Pedro, CA · 3 clinicians
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