Jacob Mason Bickerstaff, PT, DPT
Physical Therapist in Greensburg, PA. Individual provider (NPI-1).
NPI number1831069483
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1831069483
- Entity type
- Individual (NPI-1)
- Name
- Jacob Mason Bickerstaff
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2025
- Certification date
- Nov 9, 2025
- Last updated
- Nov 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT033794 | PA | Yes |
Practice location
518 Pellis RdGreensburg, PA 15601-4678
Phone 724-832-1696
Mailing address
518 Pellis RdGreensburg, PA 15601-4678
Phone 724-832-1696
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