Individual provider Active NPI

Jacob Alsobrook, OTR/L

  • Occupational Therapist
  • Mobile, AL
National Provider Identifier
1821701533
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6016 Issued in AL
Practice address
3280 Dauphin St Ste A103
Mobile, AL 36606-4048
Phone
(251) 459-8402
Fax
(251) 459-8403
NPI assigned
Dec 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6016 AL Primary

Addresses

Primary practice location

3280 Dauphin St Ste A103
Mobile, AL 36606-4048

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

Other practice location 1

1601 Center St
Mobile, AL 36604-1541
Phone (251) 665-8201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217000893 AL Practitioner - Occupational Therapist in Private Practice 1153793278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopaedic Group PCGroup PAC ID 2264331826, 67 clinicians

Practice addresses (Care Compare)

6144 Airport Blvd
Mobile, AL 36608-3143
Phone (251) 476-5050

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
86.51
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6016ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, PC CurrentSince Jul 16, 2023 Accepting new patients
USA Health Physician Billing Services LLC Occupational Therapist CurrentSince Jun 1, 2023 Accepting new patients
Encore Rehabilitation, Inc CurrentSince Jan 3, 2023 Accepting new patients
The Orthopaedic Group, P.C. CurrentSince Jul 16, 2023 Accepting new patients
Encore Rehabilitation, Inc. Occupational Therapist CurrentSince Jan 3, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

3280 Dauphin St
Ste A103
Mobile, AL 36606
Phone (251) 459-8402

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

1059 Snow Rd S
Ste B
Mobile, AL 36695
Phone (251) 216-9808

Organizations & group practices 6

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1821701533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST STE A103",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064048",
            "telephone_number": "251-459-8402",
            "fax_number": "251-459-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Center St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041541",
            "country_code": "US",
            "telephone_number": "251-665-8201",
            "fax_number": "251-665-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSOBROOK",
        "first_name": "JACOB",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.