Active NPI
Rachel Irene Jacobs, OTD
- Pediatric Occupational Therapist
- North Liberty, IA
National Provider Identifier
1750128559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 127280
- Practice address
- 5 E Cherry St
North Liberty, IA 52317-8800 - Phone
- (319) 626-2257
- Fax
- (319) 359-4015
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 127280 | IA | Primary |
Addresses
Primary practice location
5 E Cherry St
North Liberty, IA 52317-8800
Mailing address
2222 10TH St Apt 1
Coralville, IA 52241-1344
Phone (660) 346-1281
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127280 | IA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1750128559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 10TH ST APT 1",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411344",
"telephone_number": "660-346-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E CHERRY ST",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523178800",
"telephone_number": "319-626-2257",
"fax_number": "319-359-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "RACHEL",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IA",
"license": "127280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.