Jacob Isaac, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021160 Issued in OH

Practice address

11 Vaughns Gap Rd
Nashville, TN 37205-4303

Phone

(618) 988-4550

NPI assigned

Jun 3, 2024

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

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omspt Holdings LLCGroup PAC ID 1850789066, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Omspt Holdings LLC

  • Physical Therapist
  • Nashville, TN
  • NPI 1790445062

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Omspt Holdings LLC

  • Physical Therapist
  • Nashville, TN
  • NPI 1962193482

  Single Specialty

  NPD
• Omspt Holdings LLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1801561592

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1538900899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 RIVER RD APT 307",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372095642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VAUGHNS GAP RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054303",
            "telephone_number": "618-988-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Jo Iroz, BCBA, LBA
• Letty Irvin
• Isaac Spine Joint & Pain Institute
• Isaac Spine, Joint & Pain Institute
• Cathrine V Isaac, DC
• Victor W Isaac, MD
• Isaacs Orthopedics Shoes and Services
• David Isaacs, M.D.
• Celeste Isackson
• Tara Olivia Isbell, AGACNP-BC

• Physical Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.