Individual ProviderJackie NguyenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2388 W Lincoln Ave, Anaheim, CA 92801-5101(714) 780-0010(714) 837-0430PECOS EnrollmentBased on the most recent information from CMS, provider Jackie Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1952255614Provider TypeIndividualFull NameNguyen, JackieCredentialDPTGenderFemaleSole ProprietorYesEnumeration Date2/20/2026Last Updated2/20/2026Contact InformationPractice LocationPractice Address2388 W Lincoln Ave, Anaheim, CA 92801-5101Phone(714) 780-0010FaxUnlisted FaxMailing LocationMailing Address211 S Trojan St, Anaheim, CA 92804-2095Phone(714) 837-0430FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense309749California