Active NPI
Anne Burleigh Jacobs, P.T., PH.D.
- Physical Therapist
- Los Altos, CA
National Provider Identifier
1275706327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24209
- Practice address
- 1000 Fremont Ave
Suite 100
Los Altos, CA 94024-6093 - Phone
- (408) 390-8313
- Fax
- (866) 497-3512
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24209 | CA | Primary |
Addresses
Primary practice location
1000 Fremont Ave
Suite 100
Los Altos, CA 94024-6093
Mailing address
1000 Fremont Ave
Suite 100
Los Altos, CA 94024-6093
Phone (408) 390-8313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24209 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1275706327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 FREMONT AVE",
"address_2": "SUITE 100",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940246093",
"telephone_number": "408-390-8313",
"fax_number": "866-497-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FREMONT AVE",
"address_2": "SUITE 100",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940246093",
"telephone_number": "408-390-8313",
"fax_number": "866-497-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ANNE",
"middle_name": "BURLEIGH",
"credential": "P.T., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "24209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.