Active NPI
Emily Jacobson, DPT
- Physical Therapist
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13031-024
- Practice address
- 1414 N Taylor Dr
Sheboygan, WI 53081-1988 - Phone
- (920) 476-6300
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13031-024 | WI | Primary |
Addresses
Primary practice location
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Mailing address
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104284025 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13031 | WI | MD | Pharmacist |
| 13031-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Physical Therapist | Current | Accepting new patients |
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Focus Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
110 Lone Oak Ln
Hartford, WI 53027
Phone (262) 670-1800
1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
1505 Eastern Ave
Plymouth, WI 53073
Phone (920) 893-6070
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
- Physical Therapy Clinic/Center
- Plymouth, WI
- NPI 1871781682
Physical Therapist
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1104284025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 N TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811988",
"telephone_number": "920-320-3100",
"fax_number": "920-320-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 N TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811988",
"telephone_number": "920-476-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13031-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104284025",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.