Jacob Randall Pierce, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1346909 Issued in TX

Practice address

5258 Dijon Dr
Baton Rouge, LA 70808-4311

Phone

(225) 769-1090

Fax

(225) 766-5514

NPI assigned

Jun 17, 2021

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Male

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

Enrolled in LA

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

Star Physical TherapyGroup PAC ID 0648210559, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Star Physical Therapy

  • Physical Therapist
  • Covington, LA
  • NPI 1679691240
  Medicare reassignment Care Compare group NPD
• Louisiana Ear, Nose, Throat & Sinus, LLC

  • Otolaryngology Physician
  • Baton Rouge, LA
  • NPI 1114483872
  NPD (past)
• Star Physical Therapy New Orleans East

  • Physical Therapist
  • New Orleans, LA
  • NPI 1780008573
  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1942878616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD STE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-5079",
            "fax_number": "985-447-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084311",
            "telephone_number": "225-769-1090",
            "fax_number": "225-766-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JACOB",
        "middle_name": "RANDALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1346909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Picou, CIT
• Thomas D Picton Jr., M DIV
• Jessica Guin Piediscalzo, CRNA
• Asha Nichole Pierce, PHARMD
• Hannah Elizabeth Pierce
• Lindsey Landry Pierce, PHD
• Toya Pierce, LCSW
• Mitchell Augustus Pierce, Jr., DMD
• Amy Pieroni, CIT
• Pierre Care Services, LLC

• Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.