MR. JACK JACOBS (NPI# 1245474774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245474774 |
| Entity Type | Individual |
| Full Name | MR. JACK JACOBS |
| Credential | PT/DPT |
| Practice Address |
2000 Newburg Rd Louisville KY 40205-1803 |
| Mailing Address |
1900 Arboro Pl Louisville KY 40220-3576 |
| Practice Telephone | 5024599681 |
| Practice Fax Number | 5024792501 |
| Mailing Telephone | 5022984932 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
005251 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2000 NEWBURG RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376598763 | Vintage Care Inc. | Nurse Practitioner | 2000 Newburg Rd, Louisville, KY 40205-1803 | 2006-05-23 |
| 1346312824 | Nazareth Home Inc | Skilled Nursing Facility | 2000 Newburg Rd, Louisville, KY 40205-1803 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619436409 | Audrey B Veith | Physical Therapist | 1808 Milburt Dr, Louisville, KY 40223-1210 | 2019-03-19 |
| 1639640311 | Colin Cummins Barnhill | Physical Therapist | 2510 Brighton Dr, Louisville, KY 40205-3028 | 2018-12-06 |
| 1952854861 | Hope Engel | Physical Therapist | 923 Arapahoe Cir, Louisville, CO 80027-1088 | 2016-07-27 |
| 1619315942 | Kelsey Martha Humphrey | Physical Therapist | 4384 Conger Rd, Louisville, TN 37777-5118 | 2013-06-09 |
| 1750581161 | Dennis C Lesch | Physical Therapist | 115 Travois Rd, Louisville, KY 40207-1601 | 2007-07-23 |
| 1922428168 | Daniel Barraza | Physical Therapist | 303 N Hurstbourne Pkwy Ste 200, Louisville, KY 40222-5158 | 2014-04-25 |
| 1356505416 | Tom Mcginnis | Physical Therapist | 6000 Hunting Rd, Louisville, KY 40222-6308 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438912 | Jayne Gattozzi Feldman | Physical Therapist | 3802 Turkeyfoot Rd, Elsmere, KY 41018-2838 | 2018-08-23 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1407276942 | Karen Margaret Stratton | Physical Therapist | 3371 Mantilla Dr, Lexington, KY 40513-1021 | 2014-04-23 |
| 1083985444 | Katrina Jean Rollins | Physical Therapist | 3100 Charles St, Ashland, KY 41102-5827 | 2012-01-18 |
| 1083176465 | Amy Canter Thompson | Physical Therapist | 710 E Main St, Lexington, KY 40502-1668 | 2019-04-03 |
| 1235697152 | Angela Weddle | Physical Therapist | 371 W Main St, Brodhead, KY 40409-8893 | 2019-03-10 |
| 1255805222 | Logan James Humphrey | Physical Therapist | 710 E Main St, Lexington, KY 40502-1668 | 2019-01-14 |
| 1912401969 | Cathy Suzette Whitaker | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-03-22 |
| 1710487350 | Greg Matthew Mayhorn | Physical Therapist | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
Please comment or provide details below to improve the information on MR. JACK JACOBS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.