Jacob Owen Robertson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

36377 Issued in MA

Practice address

245 Billings Rd
Quincy, MA 02170-2105

Phone

(860) 227-6955

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By the provider in NPPES

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

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soleil Physical Therapy and Wellness, IncGroup PAC ID 9931266913, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Soleil Physical Therapy & Wellness, Inc

  • Physical Therapy Clinic/Center
  • Quincy, MA
  • NPI 1336325224
  Medicare reassignment Care Compare group NPD
• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1487515391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BILLINGS RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702105",
            "telephone_number": "860-227-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BILLINGS RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702105",
            "telephone_number": "860-227-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JACOB",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "36377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert a Ditullio, MD
• Marc A. Robert
• Bruce E. Roberts, PSY.D
• Elian Michelle Roberts
• Sharon Roberts, LADC II
• Kaitlyn Margaret Robichaud, LCSW
• Andre Robinson
• Elizabeth Robinson, LICSW
• Elizabeth Ann Robinson, FNP-BC
• Janaial Robinson

• Occupational Therapist in Quincy, MA
• Providers in Quincy, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.