Bryan Joseph Jacobson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1233250 Issued in TX

Practice address

5695 Kyle Pkwy Ste 140
Kyle, TX 78640-6305

Phone

(512) 268-0140

NPI assigned

Mar 25, 2014

Last updated

Mar 25, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1740607928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OYSTER CRK",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786102797",
            "telephone_number": "832-586-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 KYLE PKWY STE 140",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406305",
            "telephone_number": "512-268-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1233250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobina Iranshahi
• J&a Dental Partners
• Angela Ann Jackson, LCSW-S
• Cassandra Dale Jackson, APRN, FNP-C
• Lisa Susan Jacob, D.D.S.
• Christine U Jacobson, PT, DPT
• Naomi James, MD
• Alap R Jani, M.D.
• Alexandra D Jaranilla, RBT
• Kristin Jarzombek, M.D.

• Physical Therapist in Kyle, TX
• Providers in Kyle, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.