Jacob Van Wart, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P122236 Issued in NY

Practice address

75 Jones and Gifford Ave
Jamestown, NY 14701-2828

Phone

(716) 483-2344

NPI assigned

Jul 5, 2023

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chautauqua County Chapter of Nysarc IncGroup PAC ID 9234452947, 11 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chautauqua County Chapter of Nysarc Inc

  dba The Resource Center

  • Multi-Specialty Clinic/Center
  • Jamestown, NY
  • NPI 1770972036
  Medicare reassignment Care Compare group NPD
• Leger Therapy Services Inc.

  dba CenterIMTAtlanta

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1659327666

  NY

  Medicare reassignment NPD
• Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center

  dba The Resource Center

  • Multi-Specialty Clinic/Center
  • Jamestown, NY
  • NPI 1982682639
  NPD
• Chautauqua County Chapter of Nysarc Inc

  dba The Resource Center

  • Long Term Care Pharmacy
  • Jamestown, NY
  • NPI 1427095892
  NPD
• Chautauqua County Chapter of Nysarc Inc.

  • Adult Mental Health Clinic/Center
  • Dunkirk, NY
  • NPI 1912061789
  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1609553270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 JONES AND GIFFORD AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012828",
            "telephone_number": "716-483-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 JONES AND GIFFORD AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012828",
            "telephone_number": "716-483-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WART",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P122236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07956816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upmc Chautauqua at Wca
• Upmc Chautauqua at Wca (UPMC Chautauqua WCA)
• Urban Cycling 365, Inc
• Urban Mental Health Counseling Services PLLC
• Mary Jill Vaillancourt, CRNP
• Ashley Christine Vanepps, COTA/L
• Susan M Varacallo-Lamper, RN CCM
• Umamaheswara Rao Vejendla Physician PC
• Daniel Russell Venable
• Frederick Verdonik, PHD

• Physical Therapist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.