Jacob Robertson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

66158 Issued in OR

Practice address

1334 NE 2ND St
Bend, OR 97701-4344

Phone

(541) 797-5800

NPI assigned

Jul 1, 2026

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

Other names 1

• Jake Robertson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Physiofitness Solutions, LLC

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1033865092

  Physical Therapist

  NPD (past)
• Prentice Chiropractic LLC

  • Chiropractor
  • Bend, OR
  • NPI 1447867866
  NPD (past)

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1457278335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014344",
            "telephone_number": "541-797-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014344",
            "telephone_number": "541-797-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "66158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "ROBERTSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sally Ann Roberts
• Sean Roberts, M.S., L.P.C
• Steven Roberts, LPC
• Tabbitha Marie Roberts
• Reggie Y Robertson Martinez, LMT
• Marjorie Sheryl Robertson, PT
• Roan Robertson
• Robin K Vickery LCSW LLC
• Edmund Arthur Robinson
• Jessica G Robinson

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.