Zachary Scott Jacobs, PT, DPT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

1307961 Issued in TX

Practice address

17520 W Grand Pkwy S
Sugar Land, TX 77479-4758

Phone

(281) 725-5895

Fax

(281) 725-5898

NPI assigned

Feb 19, 2020

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

Electronic endpoints 1

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1497388318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 MAIN POPLAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253122",
            "telephone_number": "979-251-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 W GRAND PKWY S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794758",
            "telephone_number": "281-725-5895",
            "fax_number": "281-725-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ZACHARY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "1307961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "zachary.jacobs@memorialhermann.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17520 W Grand Pkwy S",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774794758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jisha Jacob
• Jubin Jacob
• Shancy Jacob, D.O.
• Aleyamma J Jacobhose, GNP
• Eugenia V Jacobs, MD
• Chloe Jacobson
• Christie Jacobus, LPC-S : RN-BC
• Dip Sureshkumar Jadav, M.D.
• Priti Suresh Jadav, M.D.
• Aman Ali Jafar, MD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.