Jake McCullough

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP061172T Issued in PA

Practice address

19 W Highland Ave
Philadelphia, PA 19118-3309

Phone

(215) 383-1660

NPI assigned

Aug 11, 2026

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)

Not enrolled

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1275458069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 E OLD STATE ROAD 56",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471705524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W HIGHLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183309",
            "telephone_number": "215-383-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Easton Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Wyncote",
            "state": "PA",
            "postal_code": "190952900",
            "country_code": "US",
            "telephone_number": "215-517-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "JAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "CP061172T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Rose McCulloch, RDN
• Pilar P McCullon
• Alexandra Abrams McCullough, MD
• Cathy Lynn McCullough, CRNA
• Corinne Marie McCullough, MD
• Kara Victoria McCullough, MS, CF-SLP
• Matt McCullough
• Megan McCullough, BSED,MSW,LSW
• Megan A McCullough, NP-C
• Rosabelle McCullough, CRNA

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.