Jacob Thomas Neece, DPT
Individual provider Active NPI Physical Therapist · Fairway, KS
NPI 1003136656 · NPPES record last updated Jun 6, 2010
Key facts
- NPI
- 1003136656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 5933 Alhambra St
Fairway, KS 66205-3158 - Phone
- (785) 764-0709
- NPI assigned
- Jun 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
5933 Alhambra St
Fairway, KS 66205-3158
Mailing address
5933 Alhambra St
Fairway, KS 66205-3158
Phone (785) 764-0709
Other providers in Fairway, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.