Babitha Jacob, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011959 Issued in MI

Practice address

44000 W 12 Mile Rd
Suite 205
Novi, MI 48377-2647

Phone

(248) 465-0100

Fax

(248) 465-0107

NPI assigned

Apr 25, 2008

Last updated

Feb 10, 2015By the provider in NPPES

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

Other names 1

• Babitha Jose Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: babitha.jacob.p4@direct.athleticoltd.nextgenshare.com

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.

• Farmington Physical Therapy, Inc

  dba Athletico Physical Therapy

  • Clinic/Center
  • Oak Brook, IL
  • NPI 1538197611

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1265607782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400 - CREDENTIALING DEPARTMENT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831189",
            "telephone_number": "248-465-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD",
            "address_2": "SUITE 205",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772647",
            "telephone_number": "248-465-0100",
            "fax_number": "248-465-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "BABITHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BABITHA",
            "last_name": "JOSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• M David Jackson, MD
• Marquenta Jackson
• Mary Jackson
• Phillicia Jackson
• Vickeisha Jackson
• Alejandra Jacobo
• Aunique Jacobs
• Brigette Jacobs
• Kalonny M Jacobs
• Michael John Jacobs, MD

• Physical Therapist in Novi, MI
• Providers in Novi, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.