Jacobo Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JACOBO PHYSICAL THERAPY, INC.

Practice address

3850 Riverlakes Dr
Bakersfield, CA 93312-6662

Phone

(661) 529-2303

NPI assigned

Jun 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fernando Garcia-RodriguezNPI 1114650827

Title

Physical Therapist Assistant

Phone

(661) 805-1348

Specialties & licenses 1

Addresses

Other names 1

• Jacobo Physical Therapy, Inc. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando Garcia-Rodriguez, PTA

  • Physical Medicine & Rehabilitation Physician
  • Bakersfield, CA
  • NPI 1114650827
  NPD Authorized official
• Azahy Ayala-Clark, PT, DPT.

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1396297230
  NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1326618083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 NORRIS RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933082047",
            "telephone_number": "661-805-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 RIVERLAKES DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126662",
            "telephone_number": "661-529-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBO PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA-RODRIGUEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "661-805-1348"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacobo Physical Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raynell Marie Jackson
• Trevor Jackson
• Jessy Jacob, MD
• Melchor Jacob, NP/PA
• Nancy Supan Jacob, FNP-C
• Jacobo Physical Therapy, Inc.
• Eilen Jacobo Ruiz, ASW
• Graciela Christine Jacobo, R.P.T.
• Holly Jacobs
• Steven R Jacobs, M.D.

• Physical Therapy Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.