Individual provider Active NPI

Jacob Calkins

  • Physical Therapist
  • Wheaton, IL
National Provider Identifier
1063239622
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.029712 Issued in IL
Practice address
1071 E Roosevelt Rd
Wheaton, IL 60187-6609
Phone
(630) 682-1785
Fax
(630) 682-1854
NPI assigned
Sep 24, 2024
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.029712 IL Primary
Physical Therapist 225100000X 306872 CA

Addresses

Primary practice location

1071 E Roosevelt Rd
Wheaton, IL 60187-6609

Mailing address

1071 E Roosevelt Rd
Wheaton, IL 60187-6609
Phone (630) 682-1785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241108000847 CA Practitioner - Physical Therapist in Private Practice 8921532284 Reassigns benefits to 1 organization
I20260226002587 IL Practitioner - Physical Therapist in Private Practice 8921532284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians
Iron Point Physical Therapy IncGroup PAC ID 0749636231, 10 clinicians

Practice addresses (Care Compare)

1071 E Roosevelt Rd
Wheaton, IL 60187-6609
Phone (630) 682-1785

50 Iron Point Cir
Suite 100
Folsom, CA 95630-8594
Phone (916) 836-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306872CAMDPhysical Therapist
070.029712ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Iron Point Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients

Locations

50 Iron Point Cir
Ste 100
Folsom, CA 95630
Phone (916) 836-1111

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

1071 E Roosevelt Rd
Wheaton, IL 60187
Phone (630) 682-1785

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1063239622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876609",
            "telephone_number": "630-682-1785",
            "fax_number": "630-682-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876609",
            "telephone_number": "630-682-1785",
            "fax_number": "630-682-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029712",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.