Active NPIIndividual provider

Dr. Michael L Jacobs, PT, DPT

Physical Therapist in Cranston, Rhode Island

NPI Number1063753671
Practice location
1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068
Fax
401-942-3097
Last updated
March 6, 2013

Michael Lee Jacobs is a Physical Therapist based in Cranston, RI. Michael Lee Jacobs practices in Cranston, RI and has the professional credentials of PT, DPT. The NPI Number for Michael Lee Jacobs is 1063753671 and holds a License No. 2492 (RI). The current practice location address for Michael Lee Jacobs is 1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068 and can be reached out via phone at 401-942-2625 and via fax at 401-942-3097.

Provider Profile Details

NPI Number
1063753671
Provider Name
Michael Lee Jacobs
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068
Phone Number
401-942-2625
Fax Number
401-942-3097
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2013
Last Update Date
March 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1150 Reservoir Ave
Suite 103
Cranston, RI 02920-6068
Zip
02920-6068
Phone Number
401-942-2625
Fax Number
401-942-3097
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
370 Hill St
Coventry, RI 02816-7725
City
Coventry
State
RI
Zip
02816-7725
Phone Number
401-823-6724

License Information

License Number
2492
License State
RI
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael L Jacobs, PT, DPT?

The NPI number of Dr. Michael L Jacobs, PT, DPT is 1063753671. It was assigned on March 6, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael L Jacobs, PT, DPT?

Dr. Michael L Jacobs, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number 2492.

Where does Dr. Michael L Jacobs, PT, DPT practice?

The practice location is 1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068. The office can be reached at 401-942-2625 (phone) or 401-942-3097 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063753671 directly on the NPPES registry website.

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