Sean Edward Jacobs, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8993 Issued in SC

Practice address

2829 Millwood Ave
Columbia, SC 29205-1261

Phone

(803) 851-3506

Fax

(803) 619-9551

NPI assigned

Feb 13, 2018

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 SC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Ascent Total Performance, LLCGroup PAC ID 2961890744, 8 clinicians

Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ascent Total Performance, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1275106270
  Medicare reassignment Care Compare group NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Germantown, MD
  • NPI 1306251434
  Medicare reassignment Care Compare group NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1295618692
  NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Owings Mills, MD
  • NPI 1447057849
  NPD

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1992205314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 MILLWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051261",
            "telephone_number": "803-851-3506",
            "fax_number": "803-619-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 MILLWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051261",
            "telephone_number": "803-851-3506",
            "fax_number": "803-619-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "SEAN",
        "middle_name": "EDWARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Denese Jacobs, BSN,RN
• Lesley Jacobs
• Mallory Jacobs, LISW-CP
• Mellada Jacobs, APRN
• Nikesha D Jacobs, LPC
• Tamara Jacobs, TAMARA JACOBS
• Vernetta H Jacobs, MD
• Elena J Jacobson, PA-C
• Erin Teal Jacobson, PT
• Jessica Mullis Jacobson

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.