Jim Jacob, PT
Physical Therapist in Plymouth, IN. Individual provider (NPI-1).
NPI number1790767887
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790767887
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jim Jacob
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2005
- Last updated
- Jul 8, 2007
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 | 05008652A | IN | Yes |
Practice location
900 W Jefferson StPlymouth, IN 46563-1634
Phone 574-936-9600 · Fax 574-936-9612
Mailing address
Po Box 308Mishawaka, IN 46546-0308
Phone 574-273-6546 · Fax 574-273-5295
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.
Other Physical Therapist providers in Plymouth, IN
- Katharine H Anders, PTNPI 1154520161
- Charlie J Celadina, PTNPI 1134050453
- John Edward Lafree, PT ATCNPI 1437159373
- Lafree Orthopedic & Sports Physical Therapy PCNPI 1578563417
- Rosalie M Regedanz, PTNPI 1235111246
- Kristine Sayers, PTNPI 1619082518
- Laura Morgan Scott, DPTNPI 1851758486
- Hazel Sheril Trinidad, P.T.NPI 1508138009
All 9 Physical Therapist providers in Plymouth · All 451 providers in Plymouth
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.