Molly A Jeakle, DPT
Physical Therapist in Charlevoix, MI. Individual provider (NPI-1).
NPI number1568062016
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1568062016
- Entity type
- Individual (NPI-1)
- Name
- Molly A Jeakle
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501019750 | MI | Yes |
Practice location
6510 M 66 NCharlevoix, MI 49720-9272
Phone 231-547-0380 · Fax 231-547-0395
Mailing address
501 Mercer BlvdCharlevoix, MI 49720-1146
Phone 231-675-0668
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Physical Therapist providers in Charlevoix · All 281 providers in Charlevoix
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