Beth Jacobs

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160378705 Issued in WA

Practice address

1700 13TH St
Everett, WA 98201-1689

Phone

(425) 261-3825

NPI assigned

Feb 24, 2016

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1801256599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 MISSION BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719747",
            "telephone_number": "425-923-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 13TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011689",
            "telephone_number": "425-261-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160378705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tionna Marie Jackson
• Whitney Gwendolyn Jackson, MA, LMHC, DCR
• William Chance Jackson
• Anoopa Mathew Jacob, DNP, ARNP, PMHNP-BC
• Anne M Jacobs
• Joshua Lane Jacobs, BS
• Michelle Jacobs, D.O., MPH
• Debra Ann Jacobsen, LMT
• Judith Ann Jacobsen, MD
• Adalynn Jean Jacobson

• Physical Therapy Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.