Jacob's Place LLC

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

JACOB'S PLACE LLC

Practice address

80 W Bullard Ave Ste 107-110
Clovis, CA 93612-0946

Phone

(559) 999-8341

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Christopher Reyes

Title

Administrator

Phone

(310) 499-3861

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1356217350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W BULLARD AVE STE 107-110",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W BULLARD AVE STE 107-110",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120946",
            "telephone_number": "559-999-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-499-3861"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "226000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreational Therapist Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Erin Jackson-Massaro, MSW/LCSW
• Danielle Erin Jackson, FNP
• Mark Henry Jackson, LCSW
• Rebecca Jackson
• Wesley Gordon Jackson, M.D.
• Abby Jean Jacobs, NP
• Zachary Eric Jaeckel, DDS
• Rose Leland Quicoy Jaim, LVN
• James L. Knudsen (Knudsen Chiropractic)
• Hannah James, CMT

• Recreation Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Recreation Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.