Michele Lynn Waitt Jacobs, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60092399 Issued in WA

Practice address

1608 S 24TH Ave Ste 102
Yakima, WA 98902-5719

Phone

(509) 248-6113

Fax

(509) 457-8941

NPI assigned

Jun 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RPM Rehab IncGroup PAC ID 0244313187, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RPM Rehab, Inc

  • Massage Therapist
  • Yakima, WA
  • NPI 1316903123

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1053605345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S 24TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025719",
            "telephone_number": "509-248-6113",
            "fax_number": "509-457-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S 24TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025719",
            "telephone_number": "509-248-6113",
            "fax_number": "509-457-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MICHELE",
        "middle_name": "LYNN WAITT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60092399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT60092399",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clark Kent Jackson, MSW
• Pamela Jackson
• Robert Tyrone Jackson
• Latosha Marie Jacobe
• Joshua Jacobs
• Shanna Leigh Jacobs
• Elizabeth Jacobson
• Taylor M Jacobson
• Nigel Jagoo, DO
• Saeid Jahesh, MD

• Physical Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.