Jeremy David Jacobs, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06499 Issued in OH

Practice address

302 S Chestnut St
Barnesville, OH 43713-1325

Phone

(740) 425-4350

NPI assigned

Jul 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Independent Rehabilitation LLC

  dba Elite Neurodiagnostics

  • Physical Therapist
  • Bethesda, OH
  • NPI 1053854877

  Single Specialty

  NPD

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659893907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S CHESTNUT ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131325",
            "telephone_number": "740-425-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S CHESTNUT ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131325",
            "telephone_number": "740-425-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JEREMY",
        "middle_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "06499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Marie Hornbeck
• Douglas Alan Huff, O. D.
• Melissa Ann Huff, M.ED.,PCC
• Dorothy Anne Hufnagel
• Independent Rehabilitation, LLC (Barnesville Physical Therapy)
• Angela Lynn Jefferis, P.T.A.
• Miles R Jefferis, APRN, FNP-BC
• Olivia Jefferis, NP-C
• Shelby Lee Jefferis, APRN, FNP-BC
• Beth Ann Jeffries, PHARMD

• Physical Therapy Assistant in Barnesville, OH
• Providers in Barnesville, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.