Individual provider Active NPI

Grant Charles Jacobs, DPT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1679212302
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049811T Issued in WA
Practice address
23515 NE Novelty Hill Rd
Redmond, WA 98053-1996
Phone
(425) 868-5260
NPI assigned
Jun 1, 2022
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP038703T CO
Physical Therapist 225100000X CP049811T WA Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

23515 NE Novelty Hill Rd
Redmond, WA 98053-1996

Mailing address

110 Baughmans LN Ste 160
Frederick, MD 21702-4946
Phone (240) 651-1335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, WA, MA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20221122002956 MD Practitioner - Physical Therapist in Private Practice 5799153763 Reassigns benefits to 2 organizations
I20240509000424 DC Practitioner - Physical Therapist in Private Practice 5799153763 Reassigns benefits to 1 organization
I20251113004320 WA Practitioner - Physical Therapist in Private Practice 5799153763 Reassigns benefits to 1 organization
I20260603000309 MA Practitioner - Physical Therapist in Private Practice 5799153763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

254 Essex St
Beverly, MA 01915-1944
Phone (978) 338-5688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29085MDMDSocial Worker
CP038703TCOMDPhysical Therapist
CP049811TWAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Canyon, LLC Physical Therapist CurrentSince Jun 5, 2022 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Sep 16, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Sep 16, 2023 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 6, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc Current Accepting new patients
Physiotherapy Associates Inc Physical Therapist PastSince Jun 30, 2017 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy of Colorado Springs LP Past Accepting new patients
Select Physical Therapy of Colorado Springs LP PastSince Aug 2, 2020 Accepting new patients

Locations

1330 Quail Lake Loop
Ste 100
Colorado Springs, CO 80906
Phone (719) 579-0230

8540 Scarborough Dr
Ste 350
Colorado Springs, CO 80920
Phone (719) 590-7777

1889 Woodmoor Dr
Monument, CO 80132
Phone (719) 257-4533

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

110 Baughmans Ln
Ste 160
Frederick, MD 21702
Phone (240) 651-1335

7101 Guilford Dr
Ste 202
Frederick, MD 21704
Phone (240) 549-5330

801 Toll House Ave
Ste H3
Frederick, MD 21701
Phone (240) 575-9260

205 S Church St
Ste B
Middletown, MD 21769
Phone (301) 371-8121

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

23515 NE Novelty Hill Rd
Ste B213
Redmond, WA 98053
Phone (425) 868-5260

37624 SE Fury St
Ste C201
Snoqualmie, WA 98065
Phone (425) 292-0223

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1679212302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN STE 160",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024946",
            "telephone_number": "240-651-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531996",
            "telephone_number": "425-868-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GRANT",
        "middle_name": "CHARLES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP038703T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CP049811T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.