Jacob Golembeski, MS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118920 Issued in TX

Practice address

303 Emerson Ave
Clarksville, IN 47129-1419

Phone

(812) 207-8903

NPI assigned

Jan 28, 2020

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Knoxville, TN
  • NPI 1306454558

  Single Specialty

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1528699667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 EMERSON AVE",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EMERSON AVE",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291419",
            "telephone_number": "812-207-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBESKI",
        "first_name": "JACOB",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorenda L Gilman
• Gail Glasgow, RPH
• Thomas Gober, OD
• Steven J Goldstein, MD
• Daniel Michael Golembeski, PHARMD
• Gould's Discount Medical LLC (Gould's Discount Medical)
• Lindsey Nichole Graves, DMD
• Desire D. Green, NP
• Greentree Primary Care PLLC
• Shawna Grider

• Occupational Therapist in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.