Michael Lee Jacobs, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2492 Issued in RI

Practice address

1150 Reservoir Ave
Suite 103
Cranston, RI 02920-6068

Phone

(401) 942-2625

Fax

(401) 942-3097

NPI assigned

Mar 6, 2013

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 RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 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.

• Pappas Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Johnston, RI
  • NPI 1851862692

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pappas Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • North Kingstown, RI
  • NPI 1174246672
  NPD
• Physical Therapy Professionals Inc

  • Physical Therapist
  • Warwick, RI
  • NPI 1558036913
  NPD

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1063753671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HILL ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028167725",
            "telephone_number": "401-823-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "SUITE 103",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-942-2625",
            "fax_number": "401-942-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Maria Irving, LMFT
• Liza Marie Izzo
• Maria Jablonski, O.D.
• Jack P Mourad,MD,Inc
• Gene M Jacobs, D.O.
• Sarah C Jacobs, LCSW
• Jeffrey Lee Jacobson, OD
• James K. Cardi,M.D.,Inc
• James R. Bonner, MD, Inc
• Wilhelmina Aquino Japlit, N MD

• Physical Therapist in Cranston, RI
• Providers in Cranston, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.