Active NPI
Kameron Jacobson, PT
- Neurology Physical Therapist
- Las Vegas, NV
National Provider Identifier
1326701822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 4539
- Practice address
- 888 W Bonneville Ave
Las Vegas, NV 89106-0100 - Phone
- (702) 483-6032
- NPI assigned
- Oct 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 4539 | NV | Primary |
Addresses
Primary practice location
888 W Bonneville Ave
Las Vegas, NV 89106-0100
Mailing address
888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone (702) 483-6032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Nevada, Las Vegas School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone (702) 483-6000
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.72 of 100
- Quality
- 56.4
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4539 | NV | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Nevada | Physical Therapist | Current | Accepting new patients |
Locations
888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1326701822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 W BONNEVILLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891060100",
"telephone_number": "702-483-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BONNEVILLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891060100",
"telephone_number": "702-483-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "KAMERON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NV",
"license": "4539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.