Andrew Jacobs, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2004030787 Issued in MO

Practice address

9437 Olive Blvd
Olivette, MO 63132-3130

Phone

(636) 728-1777

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Orthopaedics and Sports Medicine PCGroup PAC ID 3476691551, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.jacobs.1@19659.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1932432457
  Medicare reassignment Care Compare group NPD
• Cosm LLP

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1972384519
  Medicare reassignment
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Des Moines, IA
  • NPI 1871900985

  Physical Therapist

  NPD (past)
• Capital Orthopaedics and Sports Medicine LLP

  • Orthopaedic Surgery Physician
  • Des Moines, IA
  • NPI 1407093008
  NPD (past)
• Tucson Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1407851322
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366454613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 STONEY VIEW LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465621",
            "telephone_number": "314-692-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9437 OLIVE BLVD",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323130",
            "telephone_number": "636-728-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004030787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landys Hughes
• Afshanti Hunter
• Haylee Ikerman
• Zoe Janice Isbell, LMSW
• Natasha Ives, RBT
• Russell Lorenz Jaffe, M.A., CCC-SLP
• Taylor Joehl
• Kyra Johnson
• Lauren Olivia Johnson
• Jennifer Jones

• Physical Therapist in Olivette, MO
• Providers in Olivette, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.