Individual provider Active NPI

Rachel Dupont Jacobs, PT

  • Physical Therapist
  • Madisonville, LA
National Provider Identifier
1346673589
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08549 Issued in LA
Practice address
389 Highway 21
Suite 403
Madisonville, LA 70447-3441
Phone
(985) 792-5996
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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 08549 LA Primary

Addresses

Primary practice location

389 Highway 21
Suite 403
Madisonville, LA 70447-3441

Mailing address

389 Highway 21
Suite 403
Madisonville, LA 70447-3441
Phone (985) 792-5996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313000299 LA Practitioner - Physical Therapist in Private Practice 2062738891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Physical TherapyGroup PAC ID 0648210559, 6 clinicians

Practice addresses (Care Compare)

340 Falconer Dr
Covington, LA 70433-8204
Phone (985) 893-2845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08549LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Jones Haber LLC CurrentSince Jun 3, 2013 Accepting new patients

Locations

340 Falconer Dr
Covington, LA 70433
Phone (985) 893-2845

82205 Highway 25
Folsom, LA 70437
Phone (985) 796-0106

389 Highway 21
Ste 403
Madisonville, LA 70447
Phone (985) 792-5996

2565 Florida St
Ste 4
Mandeville, LA 70448

2306 Front St
Ste 27
Slidell, LA 70458
Phone (985) 661-1000

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": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1346673589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 HIGHWAY 21",
            "address_2": "SUITE 403",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473441",
            "telephone_number": "985-792-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 HIGHWAY 21",
            "address_2": "SUITE 403",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473441",
            "telephone_number": "985-792-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "RACHEL",
        "middle_name": "DUPONT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.