Individual provider Active NPI

Jacob Reed Scalf, DPT

  • Physical Therapist
  • Barbourville, KY
National Provider Identifier
1659813525
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007012 Issued in KY
Practice address
105 S Liberty St
Barbourville, KY 40906-1437
Phone
(606) 546-4112
Fax
(606) 546-8456
NPI assigned
Nov 9, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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 007012 KY Primary

Addresses

Primary practice location

105 S Liberty St
Barbourville, KY 40906-1437

Mailing address

383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171120000765 KY Practitioner - Physical Therapist in Private Practice 7719244110 Reassigns benefits to 2 organizations
I20220218001978 TN Practitioner - Physical Therapist in Private Practice 7719244110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Therapy LLCGroup PAC ID 2062832629, 12 clinicians

Practice addresses (Care Compare)

1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 302-5474

430 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 441-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy and Sports Performance, LLC Physical Therapist CurrentSince Mar 13, 2018 Accepting new patients
Pinnacle Performance Physical Therapy LLC CurrentSince Jan 31, 2022 Accepting new patients
Elevation Therapy, LLC Physical Therapist CurrentSince Sep 27, 2024 Accepting new patients

Locations

209 Knox St
Barbourville, KY 40906
Phone (606) 546-6907

1510 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 302-5474

362 Catalpa Ave
Harrogate, TN 37752
Phone (423) 869-9923

430 S Broad St
New Tazewell, TN 37825
Phone (423) 441-8848

Organizations & group practices 3

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1659813525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2912",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S LIBERTY ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061437",
            "telephone_number": "606-546-4112",
            "fax_number": "606-546-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALF",
        "first_name": "JACOB",
        "middle_name": "REED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.