Individual provider Active NPI

Jacob Michael Jeppson, DPT, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1972462646
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-034616 Issued in AZ
Practice address
3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Phone
(520) 488-5291
Fax
(520) 689-6810
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 LPT-034616 AZ Primary

Addresses

Primary practice location

3988 E Fort Lowell Rd
Tucson, AZ 85712-1010

Mailing address

2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 488-5291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210004332 AZ Practitioner - Physical Therapist in Private Practice 8426537309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Phone (520) 488-5291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034616AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients

Locations

3455 Canyon de Flores
Ste B2
Sierra Vista, AZ 85650
Phone (520) 803-9727

10445 N Oracle Rd
Ste 101
Tucson, AZ 85737
Phone (520) 488-1133

1777 W Saint Marys Rd
Ste 121
Tucson, AZ 85745
Phone (520) 884-9819

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

3988 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 209-1919

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1972462646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-488-5291",
            "fax_number": "520-689-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121010",
            "telephone_number": "520-488-5291",
            "fax_number": "520-689-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPSON",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.