Active NPIIndividual provider

Terence Jacob, DPT

Physical Therapy Assistant in Bergenfield, New Jersey

NPI Number1235474297
Practice location
47 S Washington Ave, Bergenfield, NJ 07621-2324
Fax
201-384-2625
Last updated
December 3, 2012

Terence Jacob is a Physical Therapy Assistant based in Bergenfield, NJ. Terence Jacob practices in Bergenfield, NJ and has the professional credentials of DPT. The NPI Number for Terence Jacob is 1235474297 and holds a License No. 40QA01472100 (NJ). The current practice location address for Terence Jacob is 47 S Washington Ave, Bergenfield, NJ 07621-2324 and can be reached out via phone at 201-384-2525 and via fax at 201-384-2625.

Provider Profile Details

NPI Number
1235474297
Provider Name
Terence Jacob
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
47 S Washington Ave, Bergenfield, NJ 07621-2324
Phone Number
201-384-2525
Fax Number
201-384-2625
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
December 3, 2012
Last Update Date
December 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 S Washington Ave
Bergenfield, NJ 07621-2324
Zip
07621-2324
Phone Number
201-384-2525
Fax Number
201-384-2625
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
11 Eagle Rock Ave
Suite 102
East Hanover, NJ 07936-3167
City
East Hanover
State
NJ
Zip
07936-3167
Phone Number
973-887-9000
Fax Number
973-887-3816

License Information

License Number
40QA01472100
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Terence Jacob, DPT?

The NPI number of Terence Jacob, DPT is 1235474297. It was assigned on December 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Terence Jacob, DPT?

Terence Jacob, DPT is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QA01472100.

Where does Terence Jacob, DPT practice?

The practice location is 47 S Washington Ave, Bergenfield, NJ 07621-2324. The office can be reached at 201-384-2525 (phone) or 201-384-2625 (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 1235474297 directly on the NPPES registry website.

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