Tiffany Sam Jacobs
NPI 1194458703ActiveIndividual· Physical Therapist· Hanover, PA
Physical Therapist with Bay State Physical Therapy of Randolph Inc, practicing in Hanover, Pennsylvania. Medicare paid $33,443 for services to 118 patients in 2024.
Overview
| NPI | 1194458703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 1, 2022 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT034648 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (DC); Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (MD); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 118 |
|---|---|
| Services billed | 1,342 across 11 procedure codes |
| Paid by Medicare | $33,443 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Bay State Physical Therapy of Randolph IncHalifax, MA · 454 clinicians
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All 42 physical therapists in Hanover · All physical therapists in Pennsylvania