Matthew Jacoby

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

521 Green Bay Rd
Wilmette, IL 60091-2726

Phone

(847) 724-4864

Fax

(847) 853-0179

NPI assigned

May 1, 2023

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians

S2 Physical Therapy PCGroup PAC ID 1951721521, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.07 of 100Reported as group

Quality

76.54

Promoting interoperability

83

Improvement activities

40

Cost

74.52

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 and National Provider Directory roles.

• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• S2 Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1851812390
  Medicare reassignment Care Compare group NPD
• Apex Physical Therapy and Wellness

  • Physical Therapist
  • Evanston, IL
  • NPI 1508673476
  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1982393559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 GREEN BAY RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912726",
            "telephone_number": "847-724-4864",
            "fax_number": "847-853-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravadee Inphom, P.T.
• Integrated Holistic Healthcare, S.C.
• Interactive Speech Associates, Inc
• Connie R Izquierdo, M.A. CCC-SLP
• Elise Jacob
• Jacqueline Duke, PSYD, LLC
• Ashor Jajou, MSW
• Gerta S Janss, MD
• Jessica Lynn Jarosz
• Jennifer Marie Jaume, CNM

• Physical Therapist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.