Jacob Robinson, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

1352028 Issued in TX

Practice address

2400 W Pioneer Pkwy Ste 108
Pantego, TX 76013-6091

Phone

(682) 276-3040

NPI assigned

Aug 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Movement Lab Sports Physical Therapy

  • Sports Physical Therapist
  • North Richland Hills, TX
  • NPI 1073225876

  Multi-Specialty

  NPD Authorized official
• Puckett Sports Rehab

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1750969531
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1417622986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 4TH ST",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731021",
            "telephone_number": "903-818-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W PIONEER PKWY STE 108",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760136091",
            "telephone_number": "682-276-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1352028",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3127700",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "3127700",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "3127700",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1352028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priority ER of Pantego LLC
• Prodigy Chiropractic LLC
• Patricia A Ramsey, LPC, CHT
• Revive Injury and Rehab
• Robert T Aldridge
• Bethany Roggendorf, DC
• Robert Ray Romack, DDS
• Ronald J. Morlock, DDS, Inc.
• Roslynn'S Healing Touch LLC
• Chava Shira Rousch-Carlisle, LCSW, APHSW-C

• Sports Physical Therapist in Pantego, TX
• Providers in Pantego, TX by specialty
• Sports Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.