Jacob Middleton

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-02914 Issued in KS

Practice address

13609 California St Ste 200
Omaha, NE 68154-5245

Phone

(402) 891-1118

NPI assigned

Oct 12, 2015

Last updated

Oct 12, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1497126866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545245",
            "telephone_number": "402-891-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-1177",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid South Hearing LLC (Miracle Ear)
• Mid-City OB-GYN, P.C.
• Midamerica Cardiovascular Institute P.C.
• Andrea Midder, RN
• Lateya Middlebrooks
• Jacob C Middleton, MD
• Leondra Marie Middleton
• Samantha Middleton
• Stephanie Middleton, MASSAGE THERAPIST
• Midland Modesty Home Healthcare LLC (Midland Modesty Home Healthcare)

• Physical Therapy Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.