Active NPI
Ronald Eugene Jacobson, PT
- Physical Therapist
- Mankato, MN
National Provider Identifier
1487612123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 522
- Practice address
- 1431 Premiere Dr
Mankato, MN 56001-6076 - Phone
- (507) 386-6700
- Fax
- (507) 388-8372
- NPI assigned
- May 3, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 522 | MN | Primary |
Addresses
Primary practice location
1431 Premiere Dr
Mankato, MN 56001-6076
Mailing address
1431 Premiere Dr
Mankato, MN 56001-6076
Phone (507) 386-6600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6402748 | Other | MN | MEDICA |
| 98540JA | Other | MN | BCBS OF MN |
| H017 | Other | MN | TRICARE |
| HP32902 | Other | MN | HEALTH PARTNERS |
| 983181027668 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 522 | MN | MD | Critical Care Medicine Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487612123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 PREMIERE DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600",
"fax_number": "507-625-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 PREMIERE DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6700",
"fax_number": "507-388-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "RONALD",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6402748",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "98540JA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "H017",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP32902",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "983181027668",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.