Individual provider Active NPI

Jacob Lubbe, DPT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1326757899
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017197 Issued in OH
Practice address
2760 Airport Dr
Columbus, OH 43219-2284
Phone
(614) 866-8158
NPI assigned
Nov 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017197 OH Primary

Addresses

Primary practice location

2760 Airport Dr
Columbus, OH 43219-2284

Mailing address

3745 Peak Ridge Dr
Columbus, OH 43230-4115
Phone (440) 487-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517000483 OH Practitioner - Physical Therapist in Private Practice 2668838624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affordable Home Health Care LLCGroup PAC ID 9739192147, 42 clinicians

Practice addresses (Care Compare)

800 Yard St
Suite 300
Grandview Heights, OH 43212-3882
Phone (614) 866-8158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Home Health Care, LLC Physical Therapist CurrentSince Apr 20, 2023 Accepting new patients
Affordable Home Health Care, LLC Physical Therapist CurrentSince Apr 20, 2023 Accepting new patients

Locations

800 Yard St
Ste 300
Grandview Heights, OH 43212
Phone (614) 866-8158

Organizations & group practices 2

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": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1326757899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 PEAK RIDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432304115",
            "telephone_number": "440-487-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 AIRPORT DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192284",
            "telephone_number": "614-866-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBBE",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.

Verify at the official NPI Registry.