Active NPIIndividual provider

Lara Jacobsen, PT

Physical Therapist in Oradell, New Jersey

NPI Number1558654319
Practice location
550 Kinderkamack RD, Oradell, NJ 07649-1500
Fax
—
Last updated
May 25, 2011

Lara Jacobsen is a Physical Therapist based in Oradell, NJ. Lara Jacobsen practices in Oradell, NJ and has the professional credentials of PT. The NPI Number for Lara Jacobsen is 1558654319 and holds a License No. 40QA01172900 (NJ). The current practice location address for Lara Jacobsen is 550 Kinderkamack RD, Oradell, NJ 07649-1500 and can be reached out via phone at 201-262-1250.

Provider Profile Details

NPI Number
1558654319
Provider Name
Lara Jacobsen
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
550 Kinderkamack RD, Oradell, NJ 07649-1500
Phone Number
201-262-1250
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2011
Last Update Date
May 25, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 Kinderkamack RD
Oradell, NJ 07649-1500
Zip
07649-1500
Phone Number
201-262-1250
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
3 Yorktown Ln
Totowa, NJ 07512-2221
City
Totowa
State
NJ
Zip
07512-2221
Phone Number
973-720-1215

License Information

License Number (1)
40QA01172900
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
PT23450
License State (2)
FL
Taxonomy (2)
Physical Therapist · 225100000X

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 Lara Jacobsen, PT?

The NPI number of Lara Jacobsen, PT is 1558654319. It was assigned on May 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Lara Jacobsen, PT?

Lara Jacobsen, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01172900.

Where does Lara Jacobsen, PT practice?

The practice location is 550 Kinderkamack RD, Oradell, NJ 07649-1500. The office can be reached at 201-262-1250 (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 1558654319 directly on the NPPES registry website.

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