Organization Active NPI

Jacob Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Croton on Hudson, NY
National Provider Identifier
1780479527
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JACOB PHYSICAL THERAPY PLLC
Doing business as
Jacob Rehab
Practice address
1430 Journeys End Rd
Croton on Hudson, NY 10520-3608
Phone
(914) 441-8601
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Ashley Jacob, PT, DPTNPI 1033968961
Title
Owner
Phone
(914) 441-8601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1430 Journeys End Rd
Croton on Hudson, NY 10520-3608

Mailing address

1430 Journeys End Rd
Croton on Hudson, NY 10520-3608
Phone (914) 441-8601

Other names 1

  • Jacob Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702003656 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456864321 Receives reassigned benefits from 1 practitioner
Practice locations: Croton on Hudson, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1780479527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 JOURNEYS END RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203608",
            "telephone_number": "914-441-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 JOURNEYS END RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203608",
            "telephone_number": "914-441-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-441-8601",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.