Active NPI
Randall N Jacobe, RPT
- Physical Therapist
- Reno, NV
National Provider Identifier
1730129347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0188
- Practice address
- Unr Sportsmedicine Complex
Reno, NV 89507 - Phone
- (775) 784-1999
- Fax
- (775) 784-1995
- NPI assigned
- Jun 8, 2006
- 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 | 0188 | NV | Primary |
Addresses
Primary practice location
Unr Sportsmedicine Complex
Reno, NV 89507
Mailing address
PO Box 8940
Reno, NV 89507-8940
Phone (775) 784-1999
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 |
|---|---|---|---|
| 0188 | NV | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1730129347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8940",
"city": "RENO",
"state": "NV",
"postal_code": "895078940",
"telephone_number": "775-784-1999",
"fax_number": "775-784-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNR SPORTSMEDICINE COMPLEX",
"city": "RENO",
"state": "NV",
"postal_code": "89507",
"telephone_number": "775-784-1999",
"fax_number": "775-784-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBE",
"first_name": "RANDALL",
"middle_name": "N",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "0188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.