Active NPI
Jacob Thomas Roy, DPT, PT
- Physical Therapist
- Galesburg, IL
National Provider Identifier
1114839693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.040903
- Practice address
- 3333 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-9600
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 070.040903 | IL | Primary |
Addresses
Primary practice location
3333 N Seminary St
Galesburg, IL 61401-1251
Mailing address
4100 N Illinois Ave
Peoria, IL 61616-7529
Phone (309) 740-6620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1114839693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 N ILLINOIS AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616167529",
"telephone_number": "309-740-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-344-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "JACOB",
"middle_name": "THOMAS",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.040903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.