Jacob L Gross, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

38 Sheridan Park Cir Ste E
Bluffton, SC 29910-7023

Phone

(843) 757-5566

Fax

(843) 757-5568

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1225765332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OKATIE CENTER BLVD S STE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097530",
            "telephone_number": "843-705-9480",
            "fax_number": "843-705-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR STE E",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107023",
            "telephone_number": "843-757-5566",
            "fax_number": "843-757-5568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Okatie Center Blvd S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299097530",
            "country_code": "US",
            "telephone_number": "843-705-9480",
            "fax_number": "843-705-9481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JACOB",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D'Mariea Lamar Caleb Green, OTD, OTR
• Jennifer Jacquelyn Green, APRN
• Mitchell Greene
• Deborah Grimm
• Mary Ellen Groff, APRN
• Margaret Monique Guffey, MA, ED.S, LPC
• Caio Guimaraes, PHARMD
• Jessica Hansen Gunn, RN
• Atul Mohan Gupta, M.D.
• Eric Stephen Gwynn, MD

• Physical Therapist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.