Tracy Jacobsen, MA OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

460 Issued in NE

Practice address

2108 Taylor Ave
Suite 1100
Norfolk, NE 68701-4641

Phone

(407) 371-7545

Fax

(402) 379-0583

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jacobsen Therapy Services LLCGroup PAC ID 1759381023, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Jacobsen Therapy Services LLC

  • Occupational Therapist
  • Norfolk, NE
  • NPI 1649347865
  Medicare reassignment Care Compare group NPD Authorized official
• Heartland Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Norfolk, NE
  • NPI 1841214426
  NPD (past)
• Spier Physical Therapy Inc

  • Physical Therapist
  • Norfolk, NE
  • NPI 1033202833
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1528170297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "WISNER",
            "state": "NE",
            "postal_code": "68791",
            "telephone_number": "402-529-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE",
            "address_2": "SUITE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014641",
            "telephone_number": "407-371-7545",
            "fax_number": "402-379-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "MA OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02429",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00472371",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Jacobo
• Sherry Jacobs
• Jacobsen Therapy Services LLC
• Amelia Jacobsen
• Timothy Dean Jacobsen
• Christian Jacobson
• Krista Lea Jacot, MOT, OTR/L
• Fonzia Jamea
• James D Bertus MD PC
• Natalie James

• Occupational Therapist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.