Tobin Jacob

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

056016021 Issued in IL

Practice address

7370 W Talcott Ave
Chicago, IL 60631-3751

Phone

(773) 594-7400

NPI assigned

May 4, 2024

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

Not listed in the public Medicare enrollment file

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.

• Oasis Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Oshkosh, WI
  • NPI 1386381598
  NPD

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1992552186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564027",
            "telephone_number": "773-575-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313751",
            "telephone_number": "773-594-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "TOBIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056016021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston R Jacob, M.D.
• Ross Jacob, LCSW
• Sheby Elsa Jacob, NP
• Sherin M Jacob
• Tiffany Sunny Jacob
• Daniel Joseph Jacobazzi, P.T.
• Christine L. Jacobek, PSY.D.
• Melissa Jacoben, LCSW
• Rebekah Jacobi
• Ashley Jacobs

• Physical Rehabilitation Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Rehabilitation Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.