Jack Jacobs, PT/DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

005251 Issued in KY

Practice address

2000 Newburg Rd
Louisville, KY 40205-1803

Phone

(502) 459-9681

Fax

(502) 479-2501

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Next PT Group Kentucky, LLCGroup PAC ID 9032442017, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Next PT Group Kentucky, LLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1861962581
  Medicare reassignment Care Compare group NPD
• Movement Potential PLLC

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1073812806
  Authorized official Same address or phone

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1245474774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ARBORO PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203576",
            "telephone_number": "502-298-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051803",
            "telephone_number": "502-459-9681",
            "fax_number": "502-479-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JACK",
        "name_prefix": "Mr.",
        "credential": "PT/DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "KY",
            "license": "005251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Jacob, M.D.
• Amelia C. Jacobs, D.M.D.
• Bethany Jacobs
• Erica Jacobs
• Genevieve Camilla Jacobs, D.O.
• Jena Jacobs, OTR/L, OTD
• Jill Marie Jacobs, M.D.
• Alfred Jacobs, Jr, MD
• Lisa A Jacobs, MSSW, CSW
• Madelyn J Jacobs, MD

• Geriatric Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Geriatric Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.