Jacob Dewulf
NPI 1295465425ActiveIndividual· Physical Therapist· Kennewick, WA
Physical Therapist with Shellman Inc PA, practicing in Kennewick, Washington. Medicare paid $32,561 for services to 121 patients in 2024.
Overview
| NPI | 1295465425 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 11, 2022 |
| Last updated in NPPES | Jun 11, 2022 |
| Certified by provider | Jun 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 1,596 across 14 procedure codes |
| Paid by Medicare | $32,561 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Shellman Inc PAHayden, ID · 41 clinicians
Other Physical Therapist providers in Kennewick
- 1225796188
- 1457397531
- 1689392565
- 1548292741
- 1811151277
- 1073892600
- 1831191832
- 1396818316
- 1154307908
- 1437428810
- 1801964291
- 1295135440