Tamara Jacobs, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24108 Issued in FL

Practice address

1771 Edgewood Ave W Ste 6B
Jacksonville, FL 32208-3278

Phone

(904) 768-9966

Fax

(904) 765-1655

NPI assigned

Jul 25, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hana Care Inc

  dba Hana Care Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jacksonville, FL
  • NPI 1912084294

  Physical Therapist

  NPD (past)
• Hana Care Inc.

  dba Hana Care Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jacksonville, FL
  • NPI 1164891974
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1063790012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 EDGEWOOD AVE W STE 6B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083278",
            "telephone_number": "904-768-9966",
            "fax_number": "904-765-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 EDGEWOOD AVE W STE 6B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083278",
            "telephone_number": "904-768-9966",
            "fax_number": "904-765-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TAMARA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Lane McIntyre Jacobs, OT
• Julia Jacobs
• Olivia Jacobs, AUD
• Priscilla Jacobs, PA-C
• Shelby Lee Jacobs, LMT
• Victoria Jacobs
• Vindia Jacobs
• Zante Jacobs
• Natalie Marie Jacobson Cuevas, MD
• Elliot Jon Jacobson, MD

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.