Katherine Ann Jacob, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0019174 Issued in CO

Practice address

730 14TH St SW Unit 200
Loveland, CO 80537-6349

Phone

(970) 663-0815

NPI assigned

Dec 28, 2020

Last updated

Jul 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Ann Jacob Other name

Medicare fee-for-service enrollment

Enrolled in MD, AK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Action Physical Therapy LLCGroup PAC ID 5597095273, 5 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.

• Back in Action Physical Therapy, LLC

  • Physical Therapist
  • Wasilla, AK
  • NPI 1356621395
  Medicare reassignment Care Compare group
• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  Physical Therapist

  Medicare reassignment NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • King of Prussia, PA
  • NPI 1750194460

  Physical Therapist

  NPD
• Back 2 You Speech Language Pathology, PLLC

  • Speech-Language Pathologist
  • Buffalo, NY
  • NPI 1649930629

  Physical Therapist

  NPD (past)
• Orchard Park Progressive Physical Therapy PLLC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1760999668
  NPD (past)

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1659968337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 14TH ST SW UNIT 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376349",
            "telephone_number": "970-663-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 14TH ST SW UNIT 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376349",
            "telephone_number": "970-663-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046818",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JACOB",
            "middle_name": "ANN",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• It's Me Again of Colorado, Inc
• Heather Jackson, M.A.
• Madelyn Jackson
• Michelle Laporte Jackson, PA-C
• Joseph P Jacob, MD
• Prema M Jacob, MD
• Kathleen M Jacober, MSW
• Erin Jacobs, MS, LMFT
• Melinda Jacquez
• James K Richards DDS PC

• Physical Therapist in Loveland, CO
• Providers in Loveland, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; 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.