Individual provider Active NPI

Rachel Jakubowski

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1780092809
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30987 Issued in FL
Practice address
4257 Daubert St
Orlando, FL 32803-4369
Phone
(321) 218-0435
Fax
(321) 218-0435
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 30987 FL Primary

Addresses

Primary practice location

4257 Daubert St
Orlando, FL 32803-4369

Mailing address

4257 Daubert St
Orlando, FL 32803-4369
Phone (321) 218-0435

Other practice location 1

1085 Belle Ave
Winter Springs, FL 32708-2961
Phone (407) 718-0437

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

LicenseStateTypeSpecialty
30987FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jakubowski Sports Rehabilitation, LLC PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 1

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1780092809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 DAUBERT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034369",
            "telephone_number": "321-218-0435",
            "fax_number": "321-710-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 DAUBERT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034369",
            "telephone_number": "321-218-0435",
            "fax_number": "321-218-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 Belle Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327082961",
            "country_code": "US",
            "telephone_number": "407-718-0437",
            "fax_number": "321-710-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKUBOWSKI",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.