Individual provider Active NPI

Jacob W Comstock, PT, DPT, CERT. DN

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1043854441
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP044823T Issued in KY
Practice address
9368 Cedar Center Way
Louisville, KY 40291-4522
Phone
(502) 231-3979
Fax
(502) 231-9891
NPI assigned
Oct 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070024810 IL
Physical Therapist 225100000X 05013763A IN
Physical Therapist 225100000X CP044823T KY Primary

Addresses

Primary practice location

9368 Cedar Center Way
Louisville, KY 40291-4522

Mailing address

13201 Magisterial Dr
Louisville, KY 40223-4105
Phone (800) 645-5678

Other practice location 1

1296 W Boughton Rd
Bolingbrook, IL 60490-1554
Phone (630) 771-0850

Other practice location 2

1316 N Tibbs Ave
Indianapolis, IN 46222-3024
Phone (847) 441-5593

Other practice location 3

2421 N Morton St
Franklin, IN 46131-9703
Phone (317) 738-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210211001157 IN Practitioner - Physical Therapist in Private Practice 8628401411 Reassigns benefits to 1 organization
I20250911003453 KY Practitioner - Physical Therapist in Private Practice 8628401411 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLC 339 clinicians

Practice addresses (Care Compare)

9368 Cedar Ctr Way
Louisville, KY 40291-4522
Phone (502) 231-3979

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP044823TKYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince May 9, 2025 Accepting new patients
Select Employment Services, Inc. PastSince Jun 29, 2025 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

2467 W Jonathan Moore Pike
Columbus, IN 47201
Phone (812) 314-7013

1675 N National Rd
Columbus, IN 47201
Phone (812) 799-1257

2421 N Morton St
Franklin, IN 46131
Phone (317) 738-4401

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

200 S Obrien St
Seymour, IN 47274
Phone (812) 522-9574

310 Duran Dr
Shelbyville, IN 46176
Phone (317) 421-0244

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1043854441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 MAGISTERIAL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234105",
            "telephone_number": "800-645-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9368 CEDAR CENTER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914522",
            "telephone_number": "502-231-3979",
            "fax_number": "502-231-9891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1296 W Boughton Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604901554",
            "country_code": "US",
            "telephone_number": "630-771-0850",
            "fax_number": "630-771-0852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 N Tibbs Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462223024",
            "country_code": "US",
            "telephone_number": "847-441-5593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2421 N Morton St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461319703",
            "country_code": "US",
            "telephone_number": "317-738-4401",
            "fax_number": "317-738-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMSTOCK",
        "first_name": "JACOB",
        "middle_name": "W",
        "credential": "PT, DPT, CERT. DN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024810",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013763A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "CP044823T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.