Individual provider Active NPI

Jacob Calvin Hubbard, DPT

  • Physical Therapist
  • Concord, NC
National Provider Identifier
1760346225
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24611 Issued in NC
Practice address
1030 Copperfield Blvd NE # 107
Concord, NC 28025
Phone
(980) 777-8031
Fax
(980) 777-8008
NPI assigned
Dec 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24611 NC Primary

Addresses

Primary practice location

1030 Copperfield Blvd NE # 107
Concord, NC 28025

Mailing address

1429 Bryant St Ste a
Charlotte, NC 28208-5201
Phone (704) 919-0867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227004224 NC Practitioner - Physical Therapist in Private Practice 4789166687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 Copperfield Blvd
Suite 107
Concord, NC 28025-2451
Phone (980) 777-8031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24611NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Architech Sports and Physical Therapy, LLC CurrentSince Jan 13, 2026 Accepting new patients
Architech Sports and Physical Therapy, LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients

Locations

1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1760346225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BRYANT ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085201",
            "telephone_number": "704-919-0867",
            "fax_number": "704-817-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COPPERFIELD BLVD NE # 107",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "980-777-8031",
            "fax_number": "980-777-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JACOB",
        "middle_name": "CALVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-10",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.