Sanjith Jacob, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

16891 Dover Dr
Northville, MI 48168-6506

Phone

(248) 416-9927

NPI assigned

Jul 12, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1457580482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141206",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482146206",
            "telephone_number": "248-416-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16891 DOVER DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686506",
            "telephone_number": "248-416-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SANJITH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-12",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nijuanna Pertresh Irby-Johnson, M.D.
• Mark Isaacs
• Deanna Marie Iverson, LMSW
• Jack Janigian DPM PC
• Natalie Jackiw Machacek, OD
• Jeannette Jacobs
• Joshua Jaggers, BS, MA, BCBA, LBA
• Jeffrey Jaghab, DDS
• Stephanie Ann Jaghab, D.D.S.
• Kathleen Jahoda, PA-C

• Physical Therapist in Northville, MI
• Providers in Northville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.