Individual provider Active NPI

Maria Isabel A. Jacobo, PT

  • Physical Therapist
  • Mount Prospect, IL
National Provider Identifier
1942456744
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.015979 Issued in IL
Practice address
701 N Fairview Ave
Mt Prospect, IL 60056-2037
Phone
(650) 793-6331
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.015979 IL Primary

Addresses

Primary practice location

701 N Fairview Ave
Mt Prospect, IL 60056-2037

Mailing address

701 N Fairview Ave
Mt Prospect, IL 60056-2037
Phone (650) 793-6331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001539 IL Practitioner - Physical Therapist in Private Practice 0042695801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1190 Old McHenry Rd
Long Grove, IL 60047-5088
Phone (224) 576-2183

14595 W Rockland Rd
Libertyville, IL 60048-9700
Phone (224) 433-6480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.015979ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Adaptive Rehabilitation Clinics, LLC Physical Therapist Past Accepting new patients
Illinois Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

1190 Old McHenry Rd
Long Grove, IL 60047
Phone (224) 576-2183

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

5800 Granite Pkwy
Ste 325
Plano, TX 75024

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1942456744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N FAIRVIEW AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562037",
            "telephone_number": "650-793-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N FAIRVIEW AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562037",
            "telephone_number": "650-793-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "MARIA ISABEL",
        "middle_name": "A.",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.