Shobha Jacob, MS OTR CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

46TR001259 Issued in NJ

Practice address

881 Allwood Rd Ste 101
Clifton, NJ 07012-1900

Phone

(973) 928-5800

Fax

(973) 928-5801

NPI assigned

May 19, 2006

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

New York University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment Care Compare group NPD
• Progressive Hand Rehab LLC

  • Hand Occupational Therapist
  • Clifton, NJ
  • NPI 1881993780
  Medicare reassignment NPD Authorized official
• Best Care Medical Supply Co. Inc.

  • Durable Medical Equipment & Medical Supplies
  • Clifton, NJ
  • NPI 1235124686
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1104870765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074240075",
            "telephone_number": "973-928-5800",
            "fax_number": "973-928-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALLWOOD RD STE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121900",
            "telephone_number": "973-928-5800",
            "fax_number": "973-928-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHOBHA",
        "name_prefix": "Mrs.",
        "credential": "MS OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR001259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Izaguirre, MA, LPC, NCC
• Michele Anthea Izuchukwu, RPH
• J&C Medical Supplies,LLC.
• Edith J. Jackson, NP-C
• Ariel Isaiah Jacob, DO
• Jeffrey Michael Jacobs, DPM
• Sharon Lea Jacobsen, MA LPC
• Jacqueline Smith, MD PC
• Thomas Jaeger, PHARMD.
• Tyeisha A James, MSN, RNC-MNN, IBCLC

• Hand Occupational Therapist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Hand Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.