- Practice location
- 36 Workman Ter, Lincoln, ME 04457-1162
- Phone
- 207-794-6025
- Fax
- —
- Last updated
- May 14, 2021
Jacob T Bartz-Broussard is a Physical Therapist based in Lincoln, ME. Jacob T Bartz-Broussard practices in Lincoln, ME and has the professional credentials of PT, DPT. The NPI Number for Jacob T Bartz-Broussard is 1386218352 and holds a License No. PT5929 (ME). The current practice location address for Jacob T Bartz-Broussard is 36 Workman Ter, Lincoln, ME 04457-1162 and can be reached out via phone at 207-794-6025.
Provider Profile Details
- NPI Number
- 1386218352
- Provider Name
- Jacob T Bartz-Broussard
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 36 Workman Ter, Lincoln, ME 04457-1162
- Phone Number
- 207-794-6025
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 14, 2021
- Last Update Date
- May 14, 2021
- Certification Date
- May 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36 Workman Ter
Lincoln, ME 04457-1162 - City
- Lincoln
- State
- Maine
- Zip
- 04457-1162
- Phone Number
- 207-794-6025
Provider Business Mailing Address Details
- Address
- 928 Courthouse RD Unit 22
Gulfport, MS 39507-4111 - City
- Gulfport
- State
- MS
- Zip
- 39507-4111
- Phone Number
- 228-265-3766
License Information
- License Number
- PT5929
- License State
- ME
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Jacob T Bartz-Broussard, PT, DPT?
The NPI number of Dr. Jacob T Bartz-Broussard, PT, DPT is 1386218352. It was assigned on May 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacob T Bartz-Broussard, PT, DPT?
Dr. Jacob T Bartz-Broussard, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT5929.
Where does Dr. Jacob T Bartz-Broussard, PT, DPT practice?
The practice location is 36 Workman Ter, Lincoln, ME 04457-1162. The office can be reached at 207-794-6025 (phone).
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 1386218352 directly on the NPPES registry website.