Individual provider Active NPI

Tammy Lynn Jakobs

  • Physical Therapy Assistant
  • Rancho Cordova, CA
National Provider Identifier
1013306000
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8975 Issued in CA
Practice address
2204 El Cejo Cir
Rancho Cordova, CA 95670-3122
Phone
(916) 716-2434
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8975 CA Primary

Addresses

Primary practice location

2204 El Cejo Cir
Rancho Cordova, CA 95670-3122

Mailing address

2204 El Cejo Cir
Rancho Cordova, CA 95670-3122
Phone (916) 716-2434

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1013306000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 EL CEJO CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956703122",
            "telephone_number": "916-716-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 EL CEJO CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956703122",
            "telephone_number": "916-716-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBS",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.