Ross J Jacques, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61025 Issued in OR

Practice address

781 Black Osk Dr #102
Medford, OR 97504-8383

Phone

(541) 789-4236

Fax

(541) 789-5965

NPI assigned

Aug 14, 2013

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehab Arisces Home Health Services

  • Home Health Agency
  • Fond Du Lac, WI
  • NPI 1740626332
  NPD (past)
• Taylored Rehab, LLC

  • Physical Therapy Clinic/Center
  • Fond Du Lac, WI
  • NPI 1356485791

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1689007502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD",
            "address_2": "RRMC MED STAFF",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-4281",
            "fax_number": "541-789-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 BLACK OSK DR #102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048383",
            "telephone_number": "541-789-4236",
            "fax_number": "541-789-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "ROSS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12314-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi L Jacobson, MD
• Kris N Jacobson, MD
• Stephanie Ruth Jacobson
• Alissa Jacoby
• Jacqueline Amato MD PC
• Ahsan Jaffar, MD
• Elizabeth Ann Jaffee-Stafford, LMFT
• Minal Jaju, MD
• James K Johnson DMD, LLC
• James Kolby Robinson, DMD (Timber Kids Dentistry)

• Physical Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.