Jacobo Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT14574 Issued in CA

Legal business name

JACOBO PHYSICAL THERAPY, INC.

Practice address

2441 G St
Bakersfield, CA 93301-2809

Phone

(661) 631-8793

Fax

(661) 631-9257

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Graciela Christine Jacobo, R.P.T.NPI 1174540108

Title

Owner

Phone

(661) 631-8793

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Graciela Christine Jacobo, R.P.T.

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1174540108
  Medicare reassignment Authorized official
• Sarah Hallett

  • Physical Therapy Assistant
  • Bakersfield, CA
  • NPI 1164254066
  NPD
• Karen Jean Perryman

  • Physical Therapy Assistant
  • Bakersfield, CA
  • NPI 1710741491

  Single Specialty

  NPD
• Sharity Lynne Staser

  • Physical Therapist
  • Clarksville, TN
  • NPI 1659092427
  NPD
• Amy Suzanne Bauman, PTA

  • Physical Therapy Assistant
  • Delano, CA
  • NPI 1790242139
  NPD (past)
• Julienne Marie Brandon, PT

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1841576733
  NPD (past)
• Raymond Goce Cabreira, PTA

  • Physical Therapy Assistant
  • Bakersfield, CA
  • NPI 1679082259
  NPD (past)
• Matthew Hunter Clark, DPT

  • Physical Therapist
  • Delano, CA
  • NPI 1760191274
  NPD (past)
• Damien P Flynn

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bakersfield, CA
  • NPI 1619435625
  NPD (past)
• Tara Schulze

  • Physical Medicine & Rehabilitation Physician
  • Bakersfield, CA
  • NPI 1265999031
  NPD (past)
• Janae Swift

  • Physical Therapy Clinic/Center
  • Delano, CA
  • NPI 1598468993
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1396762332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012809",
            "telephone_number": "661-631-8793",
            "fax_number": "661-631-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012809",
            "telephone_number": "661-631-8793",
            "fax_number": "661-631-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBO PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "JACOBO",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-631-8793",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT14574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CAL NUMBER",
            "identifier": "0PT145740",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0145740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Jackson
• Jessy Jacob, MD
• Melchor Jacob, NP/PA
• Nancy Supan Jacob, FNP-C
• Jacobo Physical Therapy, Inc.
• Eilen Jacobo Ruiz, ASW
• Graciela Christine Jacobo, R.P.T.
• Holly Jacobs
• Steven R Jacobs, M.D.
• Jacobson Dental Corp

• Physical Therapy Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.