Jacob Gould

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06806 Issued in KS

Practice address

2812 W 12TH Ave
Emporia, KS 66801-6202

Phone

(620) 208-7878

Fax

(620) 208-7000

NPI assigned

May 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoover Bachman and Associates IncGroup PAC ID 0143445437, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hoover, Bachman & Associates, Inc

  • Multi-Specialty Clinic/Center
  • Emporia, KS
  • NPI 1730599127

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1851975783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016202",
            "telephone_number": "620-208-7878",
            "fax_number": "620-208-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016202",
            "telephone_number": "620-208-7878",
            "fax_number": "620-208-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-05515",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme E Gillund, LPC
• Ryan Douglas Glackman, ATC
• Julie Glass, RN, BSN
• James N Glenn, M.D.
• Julia L Gotchall, OTR/L
• Gowen Chiropractic and Rehabilitation, Inc
• Dana Michelle Gowen, DC
• Janna Graham
• Stephany Graham
• Graves Drug Store Emporia Inc

• Physical Therapist in Emporia, KS
• Providers in Emporia, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.