Active NPI
Jacob Naegele, PT, DPT
- Physical Therapist
- Fremont, OH
National Provider Identifier
1659969616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018527
- Practice address
- 710 Cleveland Ave
Fremont, OH 43420-3224 - Phone
- (419) 334-6630
- Fax
- (419) 344-6630
- NPI assigned
- Jan 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018527 | OH | Primary |
Addresses
Primary practice location
710 Cleveland Ave
Fremont, OH 43420-3224
Mailing address
710 Cleveland Ave
Fremont, OH 43420-3224
Phone (419) 334-6630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018527 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1659969616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 CLEVELAND AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434203224",
"telephone_number": "419-334-6630",
"fax_number": "419-334-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CLEVELAND AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434203224",
"telephone_number": "419-334-6630",
"fax_number": "419-344-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAEGELE",
"first_name": "JACOB",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-05",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.