Jacob Stumbaugh, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

117104 Issued in TX

Practice address

1200 W Highway 100
Suite 9
Port Isabel, TX 78578

Phone

(956) 607-8329

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By 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

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• Laguna Madre Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Port Isabel, TX
  • NPI 1841399623
  NPD (past)
• Laguna Madre Rehabilitation Center

  • Physical Therapist
  • Port Isabel, TX
  • NPI 1982929246
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1760843353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MESQUITE DR",
            "city": "LAGUNA VISTA",
            "state": "TX",
            "postal_code": "785782708",
            "telephone_number": "956-607-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W HIGHWAY 100",
            "address_2": "SUITE 9",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "78578",
            "telephone_number": "956-607-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBAUGH",
        "first_name": "JACOB",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Serrano
• Kirstin Sippel, PT, DPT, NCS
• John William Spears Jr.
• Garry Gene Stebbins, RPH
• Sterling Imaging Inc.
• Surge Mobile Physical Therapy PLLC
• Phoebe A. Thurber, DDS
• William H Torkildsen, MD
• Tropical Health Care PLLC
• Tropical Health Care, LLC

• Occupational Therapist in Port Isabel, TX
• Providers in Port Isabel, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.