Individual provider Active NPI

Jacob Myers, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1508304643
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1287243 Issued in TX
Practice address
2600 W 7TH St Ste 137
Fort Worth, TX 76107-9316
Phone
(682) 233-6462
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1287243 TX Primary

Addresses

Primary practice location

2600 W 7TH St Ste 137
Fort Worth, TX 76107-9316

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129000612 TX Practitioner - Physical Therapist in Private Practice 8921498312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

7410 McCart Ave
Suite 108
Fort Worth, TX 76133-7427
Phone (682) 350-4318

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Apr 25, 2022 Accepting new patients
Joseph Daniels, DO CurrentSince Oct 1, 2021 Accepting new patients
Joseph Daniels, DO CurrentSince Oct 1, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Apr 25, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

6080 Southwest Blvd
Benbrook, TX 76109
Phone (817) 731-9331

6311 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-9400

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1540 Eastchase Pkwy
Ste 4A
Fort Worth, TX 76120

217 E Bonds Ranch Rd
Fort Worth, TX 76131
Phone (682) 285-9310

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

7410 McCart Ave
Ste 108
Fort Worth, TX 76133
Phone (682) 350-4318

4617 W Bailey Boswell Rd
Fort Worth, TX 76179
Phone (682) 350-4106

7260 Blue Mound Rd
Ste 146
Fort Worth, TX 76131
Phone 68228593508830

4441 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 382-2150

861 North Tarrant Pkwy
Unit 100
Keller, TX 76248
Phone (817) 918-2480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20617/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1508304643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W 7TH ST STE 137",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761079316",
            "telephone_number": "682-233-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1287243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.