Jacob Jeremy Loeber, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13847873-2401 Issued in UT

Practice address

2230 N University Pkwy Ste 5B
Provo, UT 84604-6710

Phone

(801) 449-0253

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 2024By 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 UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ryseup Rehab Limited Liability Company

  • Physical Therapist
  • Provo, UT
  • NPI 1699470609
  Medicare reassignment NPD

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1396591988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY STE 5B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046710",
            "telephone_number": "801-449-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY STE 5B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046710",
            "telephone_number": "801-449-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBER",
        "first_name": "JACOB",
        "middle_name": "JEREMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13847873-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LMD Path, Inc
• Keith L Lobdell
• Sarah Ann Lobrot
• Grace Lockhart, MS, LAT, ATC
• Courtney Lodin
• Jeffrey Andrew Lofgran, M.D.
• Zachary Steven Lofgran
• Richard W. Lohner, M.D.
• Regan Lohr, PSYD
• Elena Lohrey

• Physical Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.