Jacob R Hyatt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8985 Issued in AZ

Practice address

20950 N Tatum Blvd
Suite100
Phoenix, AZ 85050-4200

Phone

(480) 502-5510

Fax

(480) 538-4862

NPI assigned

Aug 18, 2010

Last updated

Mar 12, 2013By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1639484322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606710",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD",
            "address_2": "SUITE100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504200",
            "telephone_number": "480-502-5510",
            "fax_number": "480-538-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "JACOB",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8985",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT12341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "8985",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Huynh, DPM
• Jennifer A Huysentruyt
• Marja Roeloffina Huzevka, BCBA
• Lee Hwang, MD
• Ming Chun Hwang, D.O.
• Hycz Inc
• Kassandra Hyde, APRN
• Ronald H Hyde, M.D.
• Rebecca Marie Hydrick, OTA
• Christina Hyland, OTR/L

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.