Philip Nathan Jacobson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT292630 Issued in CA

Practice address

9545 Reseda Blvd Ste 4
Northridge, CA 91324-2351

Phone

(818) 886-2005

NPI assigned

Jan 1, 2019

Last updated

Mar 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• All Care Physical Therapy, P.C.

  dba All Care Therapies

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1104120385
  Medicare reassignment NPD
• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment NPD
• Canyon Physical Therapy Inc.

  dba J&M Physical Therapy

  • Physical Therapy Clinic/Center
  • Northridge, CA
  • NPI 1871682062
  NPD (past)
• JBP Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Northridge, CA
  • NPI 1043572217

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1053883033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 RESEDA BLVD STE 4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242351",
            "telephone_number": "818-886-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 RESEDA BLVD STE 4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242351",
            "telephone_number": "818-886-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "PHILIP",
        "middle_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Jacinto, PT
• Catherine Alice Jackson, PHD, CCC-SLP
• Darlene Satoko Jackson
• Dhinu Elsa Jacob
• Darline Jacobo, LCSW
• Walter Eric Jacobson, M.D.
• Teri Jacoby
• Samantha Michele Jacquin, LCSW
• Morris Jagodowicz
• Jahandar Reza Saleh MD Inc

• Physical Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.