Individual provider Active NPI

Jacob Steven Jones, PT, DPT, CES

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1174036917
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP001380T Issued in TN
Practice address
1680 Union Ave Ste 106
Memphis, TN 38104-3768
Phone
(901) 969-0297
Fax
(901) 969-0198
NPI assigned
Nov 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP001380T TN Primary

Addresses

Primary practice location

1680 Union Ave Ste 106
Memphis, TN 38104-3768

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180703003286 AR Practitioner - Physical Therapist in Private Practice 4082978796 Reassigns benefits to 2 organizations
I20200406003364 TN Practitioner - Physical Therapist in Private Practice 4082978796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Rivers Therapy Services Limited PartnershipGroup PAC ID 3173535036, 5 clinicians

Practice addresses (Care Compare)

1415 Commerce Dr
A
Pocahontas, AR 72455-1495
Phone (870) 248-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc CurrentSince Mar 30, 2020 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 9, 2017 Accepting new patients
Five Rivers Therapy Services Limited Partnership Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 9, 2017 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 30, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1415 Commerce Dr
#A
Pocahontas, AR 72455
Phone (870) 248-0800

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

656 Marshall Ave
Memphis, TN 38103
Phone (901) 527-5333

1680 Union Ave
Ste 106
Memphis, TN 38104
Phone (901) 969-0297

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1174036917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 UNION AVE STE 106",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043768",
            "telephone_number": "901-969-0297",
            "fax_number": "901-969-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACOB",
        "middle_name": "STEVEN",
        "credential": "PT, DPT, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP001380T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.