Individual provider Active NPI

Jacob Neatherton, DPT

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1588558720
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021701 Issued in OH
Practice address
8073 Washington Village Dr Ste 110
Dayton, OH 45458-1967
Phone
(937) 938-8380
Fax
(937) 938-8392
NPI assigned
Jun 4, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 PT021701 OH Primary

Addresses

Primary practice location

8073 Washington Village Dr Ste 110
Dayton, OH 45458-1967

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 818-0043

Other practice location 1

2587 Commons Blvd Ste 120
Beavercreek, OH 45431-3841
Phone (937) 426-5555

Other practice location 2

325 N Main St Ste 100
Springboro, OH 45066-8005
Phone (937) 806-0318

Other practice location 3

7819 Waynetowne Blvd
Huber Heights, OH 45424-2063
Phone (937) 938-1583

Other practice location 4

2355 W Main St
Troy, OH 45373-8484
Phone (937) 703-9001

Other practice location 5

4440 Indian Ripple Rd
Dayton, OH 45440-3264
Phone (937) 741-2880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716003872 OH Practitioner - Physical Therapist in Private Practice 2668987751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8073 Washington Village Dr
Suite 110
Dayton, OH 45458-1847
Phone (937) 938-8380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Jun 16, 2025 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients

Locations

2587 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 426-5555

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

8073 Washington Village Dr
Ste 110
Dayton, OH 45458
Phone (937) 938-8380

4400 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 741-2880

7819 Waynetowne Blvd
Huber Heights, OH 45424
Phone (937) 938-1583

325 N Main St
Ste 100
Springboro, OH 45066
Phone (937) 806-0318

2355 W Main St
Troy, OH 45373
Phone (937) 703-9001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1588558720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-818-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8073 WASHINGTON VILLAGE DR STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581967",
            "telephone_number": "937-938-8380",
            "fax_number": "937-938-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2587 Commons Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454313841",
            "country_code": "US",
            "telephone_number": "937-426-5555",
            "fax_number": "937-426-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 N Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450668005",
            "country_code": "US",
            "telephone_number": "937-806-0318",
            "fax_number": "937-806-0319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7819 Waynetowne Blvd",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454242063",
            "country_code": "US",
            "telephone_number": "937-938-1583",
            "fax_number": "937-938-6723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453738484",
            "country_code": "US",
            "telephone_number": "937-703-9001",
            "fax_number": "937-703-9003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 Indian Ripple Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454403264",
            "country_code": "US",
            "telephone_number": "937-741-2880",
            "fax_number": "937-949-6387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEATHERTON",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.