Mary Amanda Jacobson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6701 Issued in NC

Practice address

1829 E Franklin St
BLG 600
Chapel Hill, NC 27514-5861

Phone

(919) 968-3456

Fax

(919) 932-3456

NPI assigned

Apr 26, 2010

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Total Rehabilitation Inc

  • Speech-Language Pathologist
  • Chapel Hill, NC
  • NPI 1760477715

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1891012274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WOODSAGE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "address_2": "BLG 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145861",
            "telephone_number": "919-968-3456",
            "fax_number": "919-932-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MARY",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeeva Jacob, MD
• Ann Jacobi Brown, AGPCNP-BC
• Shana Tennille Jacobs
• Keith A Jacobson, MPT
• Marilyn Jacobson, PH.D.
• Laura Anne Jacox, D.M.D., PH.D.
• Andrew Joseph Jacunski
• Barbara Jean Jaeger, MA, CCC-SLP
• Emma Jagasia, DNP, PHD
• Sonia Teixeira Jahoo, BSN, SRNA

• Physical Therapist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.