Patti L Jacobson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005961 Issued in NY

Practice address

122 West Court St
Ste 102
Ithaca, NY 14850

Phone

(607) 273-7682

Fax

(607) 273-1738

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Court St. Chiropractic of Ithaca, P.C.

  • Chiropractor
  • Ithaca, NY
  • NPI 1245256882
  NPD (past) Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1427024009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WEST COURT ST",
            "address_2": "STE 102",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-273-7682",
            "fax_number": "607-273-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WEST COURT ST",
            "address_2": "STE 102",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-273-7682",
            "fax_number": "607-273-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "PATTI",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "005961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "RB2133",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "BA1012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yudelka Garcia Ivory, N.P.
• Mark Franklin Jackson, P.T., DPT, MPS, OCS
• Jaclyn Borza Maher, D.C., PLLC
• Amy Lee Jacobs, LISW
• Paula L. Jacobs, LCSW
• Kimberly Brett Jakobson
• Maureen Bernier Jakubson, OTR
• Lucia Jander, MD
• Barbara Jastran, LCSW-R
• Lilly Jay

• Chiropractor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.