Marcel Jacobs, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044400 Issued in NY

Practice address

295 Madison Ave Lowr Level
New York, NY 10017-6434

Phone

(646) 450-2955

NPI assigned

Sep 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marcel Jacobs Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1386295152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 73RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MADISON AVE LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176434",
            "telephone_number": "646-450-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MARCEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCEL",
            "last_name": "JACOBS",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leah Pittell Jacobs
• Linda Jacobs, PH.D.
• Linda B. Jacobs, LMHC
• Lynne Jacobs, MD
• Maiken Jacobs, MA
• Margaret Ann Jacobs, LCSW
• Meghan Heyer Jacobs, PT
• Melanie Alexa Jacobs, MMS, PA-C
• Michael Ira Jacobs, MD
• Michelle Jacobs, RPA-C

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.